Category Archives: Health

ObamaCare

on the ropes?

The ACA, to put it gently, is already on shaky ground. Just last week, for example, the LA Times reported that UnitedHealth, the nation’s largest insurer, is dropping out of California’s individual market. Similarly, Blue Cross Blue Shield will not participate in the exchanges in Iowa and South Dakota in 2014. And the WSJ puts the delay of the employer mandate in its discouraging context. Along with the Supreme Court ruling that invalidated the Medicaid expansion (28 states haven’t yet agreed to expand) and the refusal by many states (over 30) to set up their own health exchanges, the delay is the third major challenge to the central goal of the law: expanding access to insurance.

“You’ve got three body blows toward expansion of coverage,” said Paul Keckley, executive director of the Deloitte Center for Health Solutions, a research unit of Deloitte LLP. “It’s three punches in a row.”

Ultimately, this will be decided in sixteen months. Without RomneyCare to muddy the waters, it will be a much better issue for Republicans.

The Lawless Rolling Train Wreck That Is ObamaCare

continues:

The Affordable Care Act’s Section 1513 states in black-letter law that “(d) Effective Date.—The amendments made by this section shall apply to months beginning after December 31, 2013.” It does not say the Administration can impose the mandate whenever it feels it is politically convenient.

This selective enforcement of laws has become an Administration habit. From immigration (the Dream Act by fiat) to easing welfare reform’s work requirements to selective waivers for No Child Left Behind, the Obama Administration routinely suspends enforcement of or unilaterally rewrites via regulation the laws it dislikes. Now it is doing it again on health care, without any consultation from, much less the approval of, Congress. President Obama probably figures business and Republicans won’t object because they don’t like the law anyway.

Probably. But it’s a mess, and it’s only going to get worse.

James Gandolfini’s Heart

Was he really a walking time bomb?

Maybe. He certainly sounded like a good candidate, given his weight, though we don’t really know what his other stats were, probably for privacy reasons. I think that the doctor quoted is just speculating, and his credibility went down with me when I read this:

A holiday heart attack is a surprisingly common phenomenon, said Dr. Crandall, chief of the cardiac transplant program at the world-renowned Palm Beach Cardiovascular Clinic.

“Heart attacks often manifest on holidays when you’re not eating the normal meals,” he said. “You eat excessively, indulging in high fatty foods, and this causes the blood to thicken. The result is a blood clot, which can rupture, resulting in the blockage of blood flow to the heart, causing heart attack and sudden death.”

Do “high fatty foods” really “cause the blood to thicken”? Is there any actual empirical evidence for this? Or is it just nutritionally ignorant lipophobia?