United Healthcare Bails on Obamacare

Nancy Pelosi, call holding on line 3.  There are other healthcare providers that are likely to bow out of Obamacare in 2017.

UnitedHealth pulls back on ObamaCare exchanges amid huge losses

FNC: The nation’s largest health insurer, fearing massive financial losses, announced Tuesday that it plans to pull back from ObamaCare in a big way and cut its participation in the program’s insurance exchanges to just a handful of states next year – in the latest sign of instability in the marketplace under the law.

UnitedHealth CEO Stephen Hemsley said the company expects losses from its exchange business to total more than $1 billion for this year and last.

Despite the company expanding to nearly three dozen state exchanges for this year, Hemsley said the company cannot continue to broadly serve the market created by the Affordable Care Act’s coverage expansion due partly to the higher risk that comes with its customers.

UnitedHealth Group Inc. said it now expects to lose $650 million this year on its exchange business, up from its previous projection for $525 million. The insurer lost $475 million in 2015, a spokesman said.

UnitedHealth has already decided to pull out of Arkansas, Georgia and Michigan in 2017, and Hemsley told analysts during a Tuesday morning conference call that his company will not carry financial exposure from the exchanges into 2017.

“We continue to remain an advocate for more stable and sustainable approaches to serving this market,” he said.

The state-based exchanges are a key element behind the Affordable Care Act’s push to expand insurance coverage. But insurers have struggled with higher-than-expected claims from that business.

A recent study by the Blue Cross Blue Shield Association detailed how many new customers nationwide under ObamaCare are higher-risk. It found new enrollees in individual health plans in 2014 and 2015 had higher rates of hypertension, diabetes, depression, coronary artery disease, HIV and Hepatitis C than those enrolled before ObamaCare.

On the heels of Tuesday’s announcement, Sen. Ben Sasse, R-Neb., said in a statement it’s a sign of “the President’s broken promise that families would have more choices under ObamaCare.”

The Kaiser Family Foundation, in an analysis on the prospect of United’s exit, said “the effect on insurer competition could be significant in some markets – particularly in rural areas and southern states” if it is not replaced.

In the most extreme scenario, “If United were to leave the exchange market overall, 1.8 million Marketplace enrollees would be left with two insurers, and another 1.1 million would be left with one insurer as a result of the withdrawal,” the analysis said.

UnitedHealth had moved slowly into the newly created market by participating in only four exchanges in their first year, 2014. But the company then expanded to two dozen exchanges last year and said in October it would add to that total. It currently participates in exchanges in 34 states and covers 795,000 people

A month after announcing its latest exchange expansion, UnitedHealth started voicing second thoughts. The insurer said in November that it would decide by the first half of this year whether to even participate in the market for 2017.

Insurers say they have struggled, in particular, with customers who have signed up for coverage outside regular enrollment windows and then dumped expensive claims on their books, a problem the government has said it would address.

A dozen nonprofit health insurance cooperatives created by the ACA to sell coverage on the exchanges have already folded, and the survivors all lost millions last year.

Other publicly traded insurers like Aetna have said that they have lost money on this business as well. But some companies, like Molina Healthcare, have said they have managed to turn a profit from the exchanges.

Analysts expect other insurers to also trim their exchange participation in 2017, especially if they continue to struggle with high costs.

Germany: Migrant Rape Crisis Calls for Military

German finance minister calls for option to deploy troops in wake of Cologne attacks

In light of the New Year attacks in Cologne, German Finance Minister Wolfgang Schäuble has demanded the option of deploying Bundeswehr troops at home. He also reiterated his support for Chancellor Angela Merkel.

In an interview with Saturday’s edition of the “Süddeutsche Zeitung,” Schäuble said Berlin must ask itself why “under clear legal rules in support of the police, practically every other country in Europe can turn to its armed forces,” except for Germany.

“A legal basis for domestic military missions must be created,” Schäuble told the paper, adding that Germans expect the state to ensure security.

“For this you need more police and enhanced legal foundations for the police and intelligence services,” he said.

“The situation may arise, however, where both federal and state police forces are exhausted,” he added. “Every other country in the world would deploy soldiers in an emergency.”

Any deployment of the Bundeswehr within Germany is subject to extremely strict constitutional limitations, with its role described in the German Basic Law as absolutely defensive.

Refugee debate

The finance minister’s comments came amid ongoing uproar in Germany over reports of scores of sexual assaults in Cologne at the city’s New Year’s Eve celebrations.

Witnesses at the city’s main train station and iconic cathedral described women being groped, as well as subjected to lewd insults and robbery. In one instance, a rape was reported. Most of the culprits were said to have been of a North African or Middle Eastern appearance.

Support for Merkel

The reports have also renewed criticism of Chancellor Angela Merkel’s open-door policy on refugees and migrants, with some 1.1 million new asylum seekers registered in the last year alone. Following criticism from within Merkel’s own Christian Democrats (CDU), Schäuble renewed his support for the chancellor.

“I support with conviction what the chancellor has said: We must solve the problem at the external borders,” Schäuble told the “Süddeutsche.”

Like Merkel, Schäuble called for a solution to the refugee crisis by means of better controls and cooperation with neighboring countries, adding that action in Europe was “still too slow.”

‘No one satisfied’

The finance minister also warned his fellow CDU party members against criticizing Merkel’s refugee policy.

“Of course, no one is satisfied with the situation,” Schäuble said, admitting that there had been “very intensive discussions” within the CDU and its Bavarian sister party, the Christian Social Union. The people want us “to solve the problems the best we can,” he said.

Schäuble’s comments published Saturday were far from comparable to those heard at the end of last year when he called for a strict limit on the number of family reunifications among refugees and compared Germany’s unprecedented influx of asylum seekers to an “avalanche.”

Senator Session’s Book on Immigration and Green Cards

Under Barack Obama, the United Nations is also the headquarters of who can claim a new identity, that of an American. The same does for Europe, the world is one big global citizen, loyal to nothing and fully borderless.

Hat tip to Chuck and Daily Caller:

Jeff Sessions Releases Book Of Charts Putting Immigration And Green Card Issuances Into Shocking Perspective

Alabama Sen. Jeff Sessions released a book of graphs and charts on Wednesday that helps put the U.S.’s relaxed immigration policies in shocking perspective.

“Record-breaking visa issuances propelling U.S. to immigration highs never before seen,” is the sub-title to the Republican immigration hawk’s “chart book.”

Sessions, who chairs the Senate Subcommittee on Immigration and the National Interest, asserts that the federal government will legally add 10 million or more “new permanent immigrants over the next 10 years.”

He also cites polls showing that a “stark” majority of Americans want lawmakers to reduce immigration rates, not increase them. Polls from Gallup and Fox show that Americans support an immigration reduction to an increase by a 2-to-1 margin.

Sessions’s chart book is aimed at providing readers an easy-to-understand frame of reference for immigration flows and green card issuances, past and present.

In one chart, Sessions compares the number of green cards that will be issued in the next decade to the population of the first three presidential primary states — Iowa, New Hampshire, and South Carolina.

Alabama Sen. Jeff Sessions "Chart Book"

Another chart entitled “Immigration Adds 1 New Los Angeles Every 3 Years,” which is based on U.S. Census Bureau statistics and population projections, shows that the 11.4 million immigrants will enter the U.S. over the next nine years. “Unless immigration reductions are enacted,” the immigration population will increase in size equal to the population of Los Angeles — 3.9 million — every three years, Sessions notes.

sessions2 The number of green card issuances that can be expected over the next decade is also the equivalent of the combined population of seven of the largest cities in the U.S., including Los Angeles, Chicago, and Dallas, St. Louis, Denver, Boston, and Atlanta, Sessions notes.

sessions3

Other charts include one which shows that the U.S.’s immigration population will grow to more than 700 percent of 1970 levels by 2060.

By then, the U.S. will have 78.2 million foreign-born residents, according to the U.S. Census Bureau. In 1970, that number was 9.6 million.

And another chart takes aim at immigration from majority-Muslim nations. The U.S. has issued 680,000 green cards to migrants from those nations in the last five years, reports Sessions, citing statistics from the Department of Homeland Security.

Sessions’s “chart book” also includes stats on welfare usage rates for Middle Eastern refugees. According to a 2013 report from the Office of Refugee Resettlement, 91.4 percent of refugees from the Middle East are on food stamps. Nearly 70 percent — 68.3 percent to be exact — receive cash welfare assistance.

Other charts compare the U.S.’s immigrant population to other nations’.

“America Has 10 Million More Foreign-Born Residents Than The Entire European Union” and “U.S. Has 6 Times More Migrants Than All Latin American Nations Combined” provide the numbers.

While the U.S. has 45.8 million residents who were born outside of the U.S., the entire European Union has 35 million, according to a United Nations database. That despite the fact that the combined population of EU countries is 60 percent larger than the population of the U.S.

 

 

 

 

Putin/Iran Support Assad and Children Eat Leaves and Die

War criminal charges for Assad, the Iranian Mullahs or even Putin? Nah….but why not? Where is the United Nations Human Rights Council, heck where is Samantha Power or Barack Obama? (rhetorical)

Obama’s redline?

A fact-finding mission of the Organization for the Prohibition of Chemical Weapons (OPCW) has found indications that some people in Syria were exposed to sarin gas, according to a report to the UN.

The findings were presented in the latest monthly report on Syria from chief of the OPCW Ahmet Uzumcu.

According to the report, the mission to Syria was looking into charges by the Syrian government that chemical weapons were used in 11 instances. The report did not specify when the alleged chemical attacks occurred.

“In one instance, analysis of some blood samples indicates that individuals were at some point exposed to sarin or a sarin-like substance. Further investigation would be necessary to determine when or under what circumstances such exposure might have occurred,” Uzumcu was quoted as saying by Reuters. Much more here. 

‘Children Are Eating Leaves Off The Trees’: The Nightmare of The Siege of Madaya, Syria

ViceNews: In the early hours of Sunday morning, a pregnant woman and her daughter tried to sneak out of Madaya, a mountain village perched in the snow-capped peaks of southwestern Syria.

As they reached the southern edge of town, someone tripped over a landmine, and the loud blast alerted a nearby Hezbollah checkpoint of their escape. The fighters opened fire, and between the explosion and the barrage, both mother and daughter died.

Desperate escape attempts like this one — which was reported by the UK-based Syrian Observatory for Human Rights, and confirmed to VICE News by local residents — have become more and more common in Madaya, a village of 40,000 that’s been under siege since July by a combination of Syrian forces loyal to President Bashar al-Assad and his ally, the Lebanese militia Hezbollah.

In the past month alone, 31 residents have died from starvation, or in attempts to run the Hezbollah-manned blockade that encircles the town. A report compiled by the Syrian-American Medical Society and made available to VICE News found that a kilogram (two pounds)of flour now retails for around $100, while the average Syrian makes less than $200 each month.

“I had strawberry leaves for dinner today,” Rajai, a 26-year old English and math teacher in Madaya, told VICE News by phone, asking that his name be withheld for security reasons. “I haven’t had a real meal in three months.” Since the siege began in July, he’s lost 50 pounds. “Kids are eating leaves off the trees, and the very old and very young are dying,” he said.

As the death toll mounted in December, residents of Madaya began posting desperate pleas on social media, along with disturbing images, reminiscent of Nazi concentration camps.

 

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In a picture dated January 3, a group of young men hold a poster in English pleading with the UN and the Pope to do something to lift the siege.

 

According to Rajai, the Assad regime is punishing his hometown for its participation in the Syrian uprising in 2011. When peaceful protesters took to the streets in the nearby city of Zabadani in April 2011, Rajai joined in. “We wanted to clean this country of Assad,” he said. He was arrested and tortured. Now, after five years of civil war, his outlook is bleak.

“In the early days of the revolution, we used to say no one could be made to feel hungry or afraid,” he said. “But now we know we were wrong.”

Madaya lies on a strategically key line in Syria’s ballooning multi-front, multi-party civil war. The town is nestled within the Qalamoun mountain range, alongside the Lebanese border, less than 30 miles (50 km) from the capital Damascus. Stamping out unrest in Qalamoun, said Joshua Landis, the head of the Center for Middle East Studies at the University of Oklahoma and editor of the blog Syria Comment, is key to the regime’s survival. “If rebels there broke out, they’d have a straight corridor to Damascus,” he said.

In the early years of the revolution, many of the mountain villages along the Lebanese border sided against the Assad regime, throwing in their lot with the expanding constellation of rebels who took up arms across the country.

As the revolution grew more violent, the Syrian-Lebanese border became a key route for arms smugglers, who were funneling weapons dangerously close to the Syrian capital. Assad and his Iranian, Russian, and Lebanese allies made securing that border zone a top priority — more pressing even than retaking northern territory from groups like the Islamic State and al-Qaeda’s Nusra Front.

So with the help of the Lebanese militia Hezbollah, Assad has been brutally crushing restive zones along the mountain range by setting sieges reminiscent of medieval warfare. Besides checkpoints and minefields, the regime and its allies employ brutal blockades that prevent food or water from reaching the isolated towns.  “They are starving people into submission,” Landis said. “It’s a very old tactic.”

In September, Hezbollah moved into the town of Zabadani, just two miles (three km) north of Madaya, and the town’s only real lifeline to the outside world. A few beleaguered rebel fighters were allowed safe passage out thanks to a deal brokered by Turkey and Iran.

As Hezbollah stormed the city, it forced people it considered hostile to move to Madaya, a tactic residents say was designed to separate out pro-regime and anti-regime civilians. Loay, a 28-year old student in Zabadani, was forced to relocate to Madaya with his mother when Hezbollah took over his town. “They said: go to Madaya,” he told VICE News by phone. “There you will die, from starvation.”

In Madaya, he said, it’s like “another world.” “Everyone,” he added, “is starving.”

Loay’s mother Umm Mohamad, 52, also hasn’t had a meal in months. “My only dream is to have a piece of bread,” she said.

Syrian human rights groups are watching Madaya with horror. “They are making it into a big prison and suffocating the area,” Dr. Ammar Ghanem, a Syrian physician who grew up in the area, told VICE News. A member of the Syrian-American Medical Society’s board, Ghanem still has family stuck inside, and has been monitoring the humanitarian situation from afar. “The regime want people to die there,” he said.

Medical services in the town are meager. “They have no supplies, and no training — one of their only doctors is a veterinarian who is now operating on humans,” Ghanem said. “We would like to send in supplies, but of course, we cannot get through the blockade.”

The United Nations has struggled to get any aid into the besieged town. In October, it managed to secure safe passage for a shipment of biscuits to Madaya and Zabadani. But the food turned out to be expired.

Over the past three months, the Assad regime has prevented any additional shipments, essentially signing death warrants for dozens of children and elderly civilians in the coldest months of the winter.

But there are also very practical reasons for the siege. Hezbollah is trying to trade the civilians in Madaya for the well-being of Shiite civilians under siege by rebel forces in the northern cities of Kafrayya and Fua. “It’s a negotiating ploy,” Landis said. “Basically Hezbollah is taking hostages.” Indeed, in September, members of Ahrar al-Sham, the militant Sunni group that’s blockading the Shiite villages, began negotiating with the Syrian regime to simultaneously lift both sieges. Though the negotiators were able to arrange for the safe passage of some fighters from Zabadani, so far, the deal has yet to bear fruit for the embattled civilians.

Though the siege undoubtedly takes a humanitarian toll, multiple residents in Madaya told VICE News that fighters with Ahrar al-Sham are present in the town. The group fights with Al-Qaeda in the north of Syria. But Landis, the Syria expert at the University of Oklahoma, stresses that the men who joined Ahrar in Madaya are most likely not ideologues. “They are fighting for their lives,” he said. “They’ll make alliances with whoever they think will save them.”

As the siege grinds on, civilians are increasingly losing hope, and fear their plight will always be in the shadow of the war up north against the Islamic State. “Sure, people may read about us if you write something,” Rajaai, the teacher, told VICE News. “But when they finish reading, they’ll forget us.”

CBO: Gutting Obamacare Saves Half Trillion

Bill gutting ObamaCare would save half-trillion over a decade, CBO finds

TheHill: A GOP-led effort to repeal the biggest parts of ObamaCare would cost about $42 billion less than previously expected, saving more than a half-trillion dollars over a decade, the congressional budget scorekeeper said Monday.

Legislation to gut most of ObamaCare’s mandates and taxes, known as Restoring Americans’ Healthcare Freedom Reconciliation Act, would reduce the deficit by $516 billion over 10 years, according to the Congressional Budget Office (CBO).

The bill is expected to get a vote in the House this week, followed shortly by a vote in the Senate. President Obama has said he would veto the bill.

The CBO had previously said the bill would reduce deficits by $474 billion, but the estimates have been reduced in light of the recently enacted governing spending bill. That funding bill, which has already been signed by Obama, delays three key healthcare taxes, which each would have brought billions in revenues.

As part of a congressional deal reached on the spending bill, the so-called Cadillac tax on high-cost healthcare plans is delayed for two years and the medical device tax and the health insurance “premium” tax are paused for two years and one year, respectively.

Republicans are looking to pass their latest bill targeting ObamaCare through a budget process known as reconciliation. Under the Senate’s rules, a party that controls both chambers can pass legislation with a simple majority – sending a bill gutting ObamaCare to the president’s desk for the first time.

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GOP-led Congress set for first time to vote, pass bill to replace ObamaCare
FNC: Within hours of reconvening Tuesday, the GOP-led Congress will finally act to fulfill a 2010 promise to repeal and replace ObamaCare.

The effort is set to begin Tuesday afternoon when the House Rules Committee meets on the repeal measure, with a full debate and vote as early as Tuesday. With the Republican-led Senate having already passed its version, GOP congressional leaders will send the measure to President Obama, daring him to veto it.

Obama will undoubtedly veto the measure to undo his signature health care law, and Congress has nowhere near the votes to override a presidential veto.

But Republicans hope the entire exercise might start to change the circumstance on Capitol Hill regarding the years-old argument about ObamaCare and its repeal.

House Speaker Paul Ryan, R-Wis., is promising to unveil a bill to, in fact, replace ObamaCare.

For all of the GOP’s Sturm und Drang about ObamaCare, neither the House nor the Senate has ever debated a bill that attempts to succeed the law.

The reason is that nobody has crafted a plan that would pass in either chamber.

In 2010, House Republicans concocted the “Pledge to America.” It was a political compact created to help the GOP seize control of the House from Democrats and tell voters what they would do if in control.

One of the promises was to “repeal and replace” ObamaCare. After Republicans earned the House majority, the first major vote of 2011 was to repeal the health care law. The House and Senate have voted more than 60 times to either fully or partially repeal the Affordable Care Act, as it is more formally know. Yet they’ve never held a vote to replace ObamaCare.

But with Ryan now at the helm in the House and the GOP controlling the Senate, this may be one of the few chances the party has to come together around a bill which would replace the six-year-old law.

Ryan is, nevertheless, tempering expectations. In a recent meeting with reporters, he indicated that the House was practically obligated to pass a replacement bill. And though Ryan was confident about the House doing so this year, he underscored the unlikelihood that Obama would sign the legislation into law.

Still, the effort is part of Ryan’s attempt to contrast Republicans with the agenda of Obama and the left. Democrats have long hectored Republicans for failing to cough up a bill to succeed ObamaCare.

Such a measure is a unicorn.

If there were the votes to approve that elusive bill, Republicans would have done it. But if they finally at least draft a bill and better yet pass it, then the sides can argue about policy and not just exchange hypothetical catcalls.

Still, if Ryan is correct, the House GOP will write an ObamaCare alternative seven years after a triumvirate of House committees prepped the initial iterations of the ACA in the summer of 2009.

The House approved the first version of ObamaCare in November 2009. The Senate did so on Christmas Eve of 2009. Both bodies ushered the final health care packages to passage in March, 2010.

This enterprise won’t be easy for Republicans.

Some GOP aides defended not having a replacement bill at the ready.

They suggested the promise in the Pledge to America was to “repeal and replace” the ACA. Certainly there were votes to repeal the law (at least in the House). But the law was never repealed. Therefore, they argued, it wasn’t yet incumbent upon Republicans to make good on the second contingency and replace the statute.

Ryan won’t be able to implement the replacement package either with Obama still in the White House in 2016 — if it does, in fact, get that far. But if Ryan’s successful, he’ll have come a lot further than anyone else has before.

Which brings us back to what the House is up to next week.

Though the House has approved dozens of repeal bills over the years, the Senate has not until a few weeks ago taken a direct, up-or-down vote on eliminating ObamaCare.

Democrats controlled the Senate until January 2015. That meant they could block any Republican effort to deposit a repeal bill on the floor.

However, the story changed when the GOP won the majority. Still, Senate rules often favor the minority party. Republicans would have to vault two anticipated Democratic-filibusters just to bring up a repeal bill for debate. Overcoming those filibusters would require two roll call votes of 60 yeas. That wasn’t happening.

The GOP nevertheless had one option at its disposal — something called “budget reconciliation.”

Budget reconciliation is a unique, once-a-shot piece of legislation that operates under special rules. It’s inoculated from pesky Senate filibusters. And if you can jam something into a budget reconciliation measure, you can usually get it through the Senate because it just requires a simple majority for passage.

The House recently started this process and knocked out a dual reconciliation bill that simultaneously repealed ObamaCare and defunded Planned Parenthood. It then shipped the measure to the Senate. But because of special Senate rules governing budget reconciliation, the upper chamber had to tweak the plan to pass it. That meant that the House and Senate had approved slightly different bills. So the Senate then bounced its updated version back to the House.

This is where things stand: The House is expected to debate and vote on the final, Senate-amended version of the reconciliation plan. If approved, the House and Senate are in alignment and the bill goes to Obama to sign or veto — though this is a fait accompli.

House Republicans initially planned to take up the reworked Senate bill right before Christmas. But at the last minute, they decided to delay that gambit. They had a new tactic. Wait until after the holiday to maximize exposure of the House debate and vote — as well as the President’s planned veto. Plus, it might help tee up Republican plans on health care in the new year.

The GOP hopes it can artfully message its plans to design and approve a replacement bill for ObamaCare — with something with a lot more policy teeth than the other parliamentary gymnastics of just voting to repeal parts or all of the legislation over and over again.

Republicans also are hoping the public embraces these policy ideas as a contrast to those propounded by Obama and Democrats with health care topping the list.