Letters: Health care act a good step

A recent poll shows Americans evenly divided on the Supreme Court decision upholding the Patient Protection and Affordable Care Act: 46 percent in support, 46 percent opposed. Other polls have shown Americans also support the individual parts of the legislation.

Americans overwhelmingly support the provision which allows dependent coverage until age 26. Americans support the provision preventing insurance companies from denying coverage for pre-existing conditions, or dropping policyholders when they get sick.

Polls show Americans approve of the provisions requiring insurance companies to give back to policyholders if profits exceed a generous amount. We also approve of provisions closing the so-called “doughnut hole” in prescription drug coverage for seniors — a George W. Bush administration boondoggle designed to protect pharmaceutical company profits.

Yes, it is true polls asking the question “Do you support Obamacare”? routinely show the majority of people do not. But who can be surprised about that fact after a two-year propaganda campaign which included everything from “the socialist government-takeover of health care” to “government sponsored death panels”?

Neither of those paranoid fears will ever happen, but the things the radical right are afraid of which aren’t happening (and never will) is another letter altogether.

The facts are a majority of Americans support the changes in health-care delivery provided for by the Affordable Care Act. When politicians — and this includes many politicians from Louisiana — talk about repeal because that’s what most Americans want, they are either willfully deceptive or willfully ignorant.

Since the defeat of “Hillarycare” in the early years of the Bill Clinton administration Republicans have had an opportunity to address health care, including six years from 2001 to 2006 when they held the presidency, majorities in both houses, and a majority on the Supreme Court. In that nearly 20-year time span they have done nothing but oppose health-care reform — which is a pretty darn good reason not to trust them now.

I can’t say I am completely happy with the Affordable Care Act. But we had to take that first step and now we have.

Instead of talking about repeal we should be talking about how to make the law work the way we all want it to — reduce explosive health-care costs, provide for the poor and misfortunate, guarantee ethical and moral treatment by insurance companies toward policyholders and potential policyholders, among other hopes.

I reject the radical-right vision of health-care reform as evil socialism, unconstitutional, anti-American government over-reach. Instead as we celebrate our nation’s beginnings I embrace the vision of affordable health care for all citizens as a proud — and humbling — expression of who we are as a people.

Paul Spillman

Wholesale flooring sales

St. Francisville


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Comments (44)


1) Comment by Whatnow - 12/07/2012

I want to know why the cost of medical care and drugs have not been lowered one bit? Hmmmm? Follow the money and the lobbyists.

2) Comment by biglsufan07 - 11/07/2012

I would like to see Congress tackle the waste, fraud and abuse in the Medicare System before they take on Universal Health Care. Right now we have companies over charging for medical equipment such as scooters and C-Pap machines, I am sure there are many others that can be added to this list. I know for a fact that if you pay cash for a C-PAP machine, you can get it for $700 but if you bill Medicare it is $2500. WHY is that? This will only get worse if the Government takes over the health care system.

3) Comment by nimby? - 09/07/2012

universal coverage that excuses some ? oxymoron . those who play by the rules will suffer , bear the cost while those already receiving free coverage will continue to do so without consequences . same as it ever was ....

4) Comment by Whatnow - 09/07/2012

Hyperbole- Today's government failure, and this is just today.... http://finance.yahoo.com/news/government-overpaid-14-billion-unemployment-085800667.html And they want to control your health care?

5) Comment by DMJ - 09/07/2012

Jindal has said Louisiana will not set up the insurance exchanges because in November, we'll have a new president and a Republican majority in Congress so we'll repeal and replace the act. Yeah right. First of all...it's going to take 60 senators to repeal. Republicans may take the presidency and the Senate, but they won't have a 60 seat majority. So any Republican politician who talks about "repeal and replace" is being disingenous...or is stupid. Mr. Spillman is right. Republicans lost; it's now time to work together to make the law function, not whine about how they didn't win and petulantly refusing to implement the law, as Jindal is doing.

6) Comment by ex-louisianian - 08/07/2012

The real answer is of course the abolition, or at least the regulation into public utilities, of private health insurance concerns. They do nothing except introduce another layer of bureaucracy into the health care system, ration health care, and lavish their CEOs and executive staff 7-figure salaries and bonuses with "unused" premiums taken from denying claims of sick clients.

7) Comment by nimby? - 08/07/2012

this TAX wil be struck down after the next election . nothing more than another entitlement program for those who choose not to educate themselves , seek gainful employment ,support themselves or their offspring . in general shirking their duty to society as a responsible adult . apologists and excuse makers need to become more aquainted with those they choose to defend ....

8) Comment by Tea_Slayer - 08/07/2012

Hyperbole -- "That's why we are free and not under a dictator who throws his weight around. Or are we?" Hyperbole -- "There are some good points to the bill, but like I said, most government programs are failures." Hyperbole -- "And this one will cost us more than we have." Hyperbole -- "But, I guess we can just print more money or belong to China." Hyperbole defined: A figure of speech in which exaggeration is used for emphasis or effect, an obvious and intentional exaggeration.

9) Comment by Whatnow - 08/07/2012

@Tea_Slayer, hyperbole? Prove it. Want me to list some of the failed government programs? I can and will if you want. It will take up a lot of space on here, though.

10) Comment by ScotB - 07/07/2012

Regarding Obamacare's forerunner, Romneycare....just a few quick points. When it passed its law, Massachussetts already had one of the lowest percentage of uninsured residents. Since passing the law, Mass has had wait times to see a primary physician go up 82% (in a state that has a lot of primary care docs). Since passing the law, Mass has the highest individual market premiums in the nation. Per capita health care spending in Mass is expected to double in the next 8 years according to the non-partisan Kaiser Foundation (about $10k now to $18K). Half of the Mass expansion was paid for by the federal government. Over half of physicians in Mass will not accept a new patient. Half of the newly graduating primary care physicians in Mass are leaving the state due to poor compensation. The Mass state legislature recently considered passing a law to FORCE docs to take government insurance as a condition of keeping their medica license (which if enacted, is predicted to cause more docs to leave the state and force more into concierge practices). Having insurance coverage DOES NOT guarantee access to care. It guarantees the ability to pay a miniscule amount for care (if provided), but does not guarantee a doctor will see you. Unless the aforementioned law is passed, with the noted impact on care & number of available physicians. Every time the government passes a law to artificially control the "free market", it creates unintended negative consequences.

11) Comment by GoldenSage - 07/07/2012

Obamacare...BAD. Anybody that says otherwise is a dreamer, a socialist idealogue. When resources are limited and spreading them all over a larger population, then NO ONE wins. Health services will get worse, so more people might be covered, but less will get appropriate and proper treatment. Resources are limited. Only dreamers and socialist idealogues that believe in Utopia can believe Obamacare will work. Does anyone know a government program as huge as healthcare that any government has run efficiently or effectively. No. With limited resources, things will only get worse with more government interference. The sad part...Obamacare is more about CONTROL of the people than trying to help the people. Anybody that doesn't realize that is either a progressive puppet or a plain idiot.

12) Comment by Tea_Slayer - 07/07/2012

ah, the hyperbole is flowing freely from our resident "good christian"

13) Comment by Whatnow - 07/07/2012

Health insurance, dental and drug coverage. What plants are you talking about? All the men that I know that work in the plants receive these benefits and competitive wages. Are you talking about workers in the plant working the boards or contract employees? Anything the government does can be overturned or changed. That's why we are free and not under a dictator who throws his weight around. Or are we? There are some good points to the bill, but like I said, most government programs are failures. And this one will cost us more than we have. But, I guess we can just print more money or belong to China.

14) Comment by dday198 - 07/07/2012

what wages and what benefits? i deal with these guys everyday and yes a few have a benefit package but not many. yes we are in a right to work state and i accept that fact some people need to accept the fact that OBAMACARE is now the law and deal with it instead of being sore losers and cry babies.

15) Comment by Whatnow - 07/07/2012

Hey, dday... we have a right to work state. Unless you are a contract laborer, you do get the same wages and benefits. They are not low ball wages at all in the plants. And they receive excellent benefits. Some contract companies do offer benefits. If you work for the company, you get less benefits. So, what's your point?

16) Comment by Whatnow - 07/07/2012

@8point6, I just read that and I cracked up! The IRS....We are going to scare you. We won't do anything to you, but we are going to scare you with letters. That ought to go over really big! Like I said, they do everything half rear ended.

17) Comment by 8point6 - 07/07/2012

Yeah, this health care is gonna be great! http://news.yahoo.com/tax-man-cometh-police-health-care- 115736849--finance.html

18) Comment by dday198 - 07/07/2012

an able bodied man can work his but off and still not be able to see a doctor it seems people in the south would rather work in these plants for low ball wages than join a union and have health care and a defined pension plan.

19) Comment by dday198 - 07/07/2012

an able bodied man can work his but off and still not be able to see a doctor it seems people in the south would rather work in these plants for low ball wages than join a union and have health care and a defined pension plan.

20) Comment by Whatnow - 07/07/2012

Oh, dday, what you can't answer me so you come up with that?? Geesh!

21) Comment by dday198 - 07/07/2012

what now , keep banging your head against that wall brother, whoops i didn't mean to call you brother brother.

22) Comment by 1ryben - 07/07/2012

Amazing. Our republican dominated state government ramms education reforms through without debate (please don't call the charade they had a debate), or even reading the bills (see the stalling of the MFP, shick thatnitll pay for Muslim schools too! The horror) it's no big deal. Right? I mean, the system was failing, something had to be done. Any change is good, who cares if it will work. Who cares if there is loads of data that it won't. It was broken. Well, the healthcare system in place was a dismal failure, something had to be done. You can't tell me you do. It want to pay for other's healthcare. YOU ALREADY ARE! Anytime anyone goes to the ER for any reason the hospital is required to treat the patient. How does the hospital make up the cost? Yup, they charge you for it (sounds similarish it a tax to me) The difference here is that this provides at least some mechanism for these "free loaders" to contribute...even if it's by force, through a tax ( penalty, who cares what it's called). If you already have insurance, you won't be taxed. Republicans were not I terested in a debate, they wanted to stall, or kill the bill. Now look, before you go labeling me some liberal socialist commie progressive whatnot, I am neither. I despise both political parties equally. I criticize both. Both parties are a disgrace to the republic (no, not democracy, we are not a democracy).

23) Comment by Whatnow - 07/07/2012

nimby?, you can't have the CC camps anymore. That would step on union toes and we know who they support and who supports them. And dday, I didn't say that. Any able bodied, mentally capable person should not be on the system, period. The rolls should be cleaned every two years. If the government can hire enough IRS agents to follow up on penalties or taxes for the enforcement of Obamacare, they should be able to hire enough people to police the social programs we already have. If you don't have the manpower, why even have those programs to begin with? And another thing. I work my way and always will. I will not become dependent on the government for anything. It's like a drug and you can become addicted. I don't want their help. They don't do anything right. It ticks me off that there is a campaign drive to add more to the people to the welfare rolls. Why would a country find joy in that? You tell me why the cost of healthcare, ie, medical treatment and drugs, has not come down at all? Who do they own and who do they support and who supports them? These are logical questions.

24) Comment by dday198 - 07/07/2012

for the most part cassidy is a party line republican and yes i would say he is included in that group

25) Comment by ScotB - 07/07/2012

Twice in his article, Mr. Spillman refers to people who oppose his views as the "radical right". I suppose that includes our federal Congressional Representative, Bill Cassidy, a highly respected doctor who also opposed the ACA. 1. The Congress passed this without reading it. 2. The President lied to the American people and told them he would not raise taxes on the middle class during America's worst recession. 3. For the first time in America's history, the government will force its citizens to buy a product. (Nothing liberals do is described as radical?) To me, that is as radical as it gets.

26) Comment by nimby? - 07/07/2012

solution ; elimination of most social programs , leaving more in the pocket of the wage earner . no logical reason to support a physically/mentally capable person who chooses not to support themselves , school or a job . workfare programs , such as the CCC in the 30's , employment , education , medical benefits . military personnel returning ; keep medical and construction units intact doing their job here instead of there . just common sense , I can continue ...

27) Comment by chem - 07/07/2012

OK. I hear all of he criticisms, but I don't hear any alternatives, other than leave the system alone. I don't think the ACA is perfect either, but it is a start. I don't know of any legislation that is perfect out of the gate. All legisilation has to be tweaked over time. Personally, I would like to see a single-payer plan. If the Republicans had passed this plan, all of the conservatives would love it, and the progressives would hate it. I also suspect that if Obama were caucasian, many of those opposed to it would be in favor of the ACA.

28) Comment by dday198 - 07/07/2012

The Affordable Care Act (ACA) includes two primary mechanisms for helping people afford health coverage. Starting in 2014, people with family incomes up to 138% of the poverty level ($31,809 for a family of four and $15,415 for a single person in 2012) will generally be eligible for the Medicaid program. And, people buying coverage on their own in new state- based health insurance exchanges will be eligible for federal tax credits to subsidize the cost of insurance. Tax credits will be calculated on a sliding scale basis for people with family income up to four times the poverty level ($92,200 for a family of four and $44,680 for a single person in 2012). (A calculator from the Kaiser Family Foundation illustrates the assistance people would be eligible for at different income levels and ages.)

29) Comment by dday198 - 07/07/2012

the only republican to support obama care was john roberts and that's all it needed to become the law of the land. i don't think that someone getting sick is their mistake. whatnow, now that a c a is law you should be able to get some government help with your families health cost if you earn at or below 133% poverty level oh i forgot gov. jindal is refusing to set up the insurance exchanges.

30) Comment by twinkie1cat - 07/07/2012

Dday, its called the Centers for Disease Control, and is in Decatur near Emory University. But you don't have to go there. See even the Fulton County Health Departmenth in Atlanta will treat your clap for free and your flesh eating bacteria can be taken care of at any hospital in Atlanta, either the public one, Grady, or the numerous private ones. I would go there. Medicaid in Georgia has not bee eviscerated by the Republicans yet.

31) Comment by twinkie1cat - 07/07/2012

Bobby Jindal is out of control and may be mentally ill. He would probably step on a baby's head if it would advance his political career (as long as it was already born, of course--can't upset the anti abortion supporters.)There is only one solution to Bobby Jindal's evisceration of Medicaid and refusal to accept the Affordable Care Act. That is simple. REMOVE BOBBY JINDAL FROM OFFICE AS SOON AS LEGALLY POSSIBLE. Petitions for his recall are available at recallbobbyjindal.com. Order some today and, if you are a registered voter, fill it out. If you are not a registered voter, register Monday. We need everyone to help save Louisiana from this evil, crazy politician.

32) Comment by phil - 07/07/2012

Sure, there are a few good things in the Obamacare package. Now if we can just keep those good things and eliminate all of the bad things we might have something to really work with to solve the healthcare cost problems in the USA. If you are willing to give up some of your rights so you can have health insurance then we will not agree on this issue. The federal government apparently now has the right to tax you for not buying something (or maybe not doing something?) and the government will be the ones who decide what that something is. I guess the next step will be that state and local governments will have the same ability. I think you you can now kiss many of your rights goodbye with the big can of worms this will open up.

33) Comment by Whatnow - 07/07/2012

@rgeraldwallace, Bingo. And dday, I can barely afford to take care of my own family's medical needs and now this joke of a bill will make me help pay for that schmuck to go to the doctor. Who is this poor schmuck anyway? Is he someone who made poor choices in life? Just like the housing fiasco, are we paying for someone's mistake or wishful thinking lifestyle because of their bad choices? Are we paying for this because of differences in priorities? You explain to me who these millions of people are and if the astronomical cost is worth it to the middle class who end up footing the bill. There is no end to what the government expects from us when all they want is power and control. And then you look how much the medical and drug companies get out of this garbage of a bill. They don't have to lower their costs, now do they? Just who is Congress representing anyway?

34) Comment by dday198 - 07/07/2012

some poor sick schmuck gets to go to a doctor and that's taking control of every aspect of our lives. got it

35) Comment by rgeraldwallace@cox.net - 07/07/2012

Mr. Spilman is on the wrong side of the facts; "we had to take the first step" is nonsense. We didn't "have" to do anything of the sort at all. This monstrosity was perpetrated on us by politicians with a cynical lust for power, not anything having to do with "affordable health care" at all; indeed health care costs are rising more than ever after this Frankenstein started staggering around. It's a way to be able to control every aspect of our lives and trash personal freedoms, nothing more.

36) Comment by chem - 07/07/2012

Just like the Republicans during the ACA debate, The_Host offers nothing but criticism. Oh, wait. I guess his non-opinion means nothing also, just as he stated that other folks' opinions mean nothing to him.

37) Comment by dday198 - 07/07/2012

Eisenhower interstate, national parks and disease center in Atlanta . if i get that flesh eating disease i'm headed to that federal place in atlanta not the clap clinic on Florida.

38) Comment by dday198 - 07/07/2012

so what are you 8.6 an ultra -right- wing Bible -thumping pro gun zealot?

39) Comment by The_Host - 07/07/2012

I am just glad they included Tort Reform in the ACA. Oh wait a second... Nevermind.. Tell ya what. I'll listen to the interpretation of the law from a wholesale floor salesman right after I hear about how great a new car is from a car salesman. Neither of your opinions means anything to me. We should be talking about how we want the law to be? Why couldn't we have taken the time to do that before passing it? You don't build a house and then say ya know what I really like THIS design instead! Unless you are the Government of course using tax payer money. So now we have to go on a promise to fix a law that is being called flawed even by those that created it and now say they (the same people that wrote it originally) are going to make it better no less. Please list all the government controlled things that they just keep on improving on for me if you would? Can you even name 3 other things they do that you would like to see this law Mirror. "I'm from the government and I am here to help" is wearing kind of thin.

40) Comment by chem - 07/07/2012

Time out. The items in the ACA are almost identical to the things that the Republicans put forth during the health care debate in the 90s when Hilary was involved. So now that the Democrats pass THEIR (Republican's) ideas, it is now socialism, communism, etc. What did the Republicans do over all of that time? Nothing. And during the ACA debates, they offered nothing substantive. Now the Republicans have as their Presidential nominee, Mitt Romney, a person who passed essentially the same health care measure when he was governor of Mass. In fact, the ACA is based on that Mass. law. Even now, with all of their whining, the Republicans have offered NOTHING as an alternative.

41) Comment by 8point6 - 07/07/2012

Thank you, Whatnow. I might add that the author is an ultra-left- wing non-Bible-thumping, anti-gun zealot.

42) Comment by lovemykids - 07/07/2012

When you refuse to sit at the table and make compromises you get no input. That was not fair to the nation as a whole.

43) Comment by dday198 - 07/07/2012

Timeline of the Affordable Care Act | HealthCare.gov www.healthcare.gov there it is for everyone to read. democrats fiddled around too long with republicans. that were not going to vote or work with them on anything including an insurance mandate which was first proposed by republicans. buy insurance across state lines and insurance savings accounts and that's about it. that's all they got.

44) Comment by Whatnow - 06/07/2012

First of all Mr. Spillman, most people who are against it were so from the beginning. It was drafted with no input whatsoever from the Republicans and rushed out at the last minute with lies about what it would cost, and the Dems were told that you have to pass it before you will know what's in it. That statement alone was enough for me. Then now we are finally getting to read the monster and how much it will cost. A whopper of a lie in the difference since we were told it wouldn't cost a thing. No one trust a lie and this was the mother of all lies.