Monday, September 20, 2021

Procrastinators Rejoice!

 


Elections do have consequences.  Four years ago the Patient Protection and Affordable Care Act (Obamacare) was under attack. We were preparing for the first Open Enrollment under the Trump administration.  Funding for the Cost Share Reduction had been eliminated which cost the insurance companies millions of dollars.  Some insurers responded by leaving the market.  And the annual Open Enrollment was shrunk to just six weeks.   The damage that couldn’t be done legislatively was accomplished by Executive Order. 

We are a little over a month away from the SECOND Open Enrollment of the Biden administration.  Recognizing the importance of access and the affordability of health care, this administration and a friendly Congress instituted an emergency Open Enrollment from March 15, 2021 until August 15, 2021.  Almost three million Americans took advantage of this opportunity to either acquire health insurance or to lower their premiums.  I met with people stuck on Share Plans, short term major medical plans, and those without any coverage who were excited to have the chance to purchase comprehensive health insurance, plans that covered preexisting conditions.  And this week it was confirmed that our annual Open Enrollment will be restored to the full November 1, 2021 to January 15, 2022.  It may not seem like much, but many Americans aren’t really ready to commit to the following year until the very end of December or the first week or so of January.  Agents around the country will now be able to help these people acquire comprehensive health policies.  And yes, that will also help the procrastinators who always seem to call the week between Christmas and New Year’s.

Dave 

www.cunixinsurance.com

 Picture – More Wine, Less Whine – David L Cunix

Thursday, September 9, 2021

Your Money Is Only Whispering

 


My friend was trying to prove that it is never too late to get interested and involved in politics.  Ralph (name changed) finally got excited about a political candidate and donated money to the campaign.  How much?  Let’s just say it was a lot of money to him.  And when the candidate won, Ralph expected to be recognized, thanked, and mentioned on the Congressional website.  Ralph was now a Player, at least in his own mind. 

An individual was allowed to contribute up to $2,800 to a particular Congressional candidate per election in 2020.  Ralph was nowhere near that amount, but even if he was, Congressional campaigns raise and spend millions of dollars.  He contributed less than 1/10 of 1% of what his candidate spent.  I’m sure that Ralph and his donation were momentarily appreciated by whoever processed the check before he/she opened the next envelope.  

To put this into perspective, let’s look at what the pharmaceutical industry (Big Pharma) donated to Ohio politicians in 2020.  The Columbus Dispatch and the website Lobbyists for Citizens are the source of this information.  It was noted that Ohio politicians, Republicans and Democrats, received over $250,000 in the 2020 election cycle from Big Pharma.  To no one’s surprise, the top recipient, even though he wasn’t up for reelection, was Rob Portman.  Here are the numbers: 

US Senators

·         Rob Portman - $65,000

·         Sherrod Brown - $0

US House

·         Brad Wenstrup – $64,000

·         Bob Latte – $41,000

·         Steve Stivers – $26,000

·         Jim Jordan – $15,000

·         Bill Johnson – $14,500

·         Marcia Fudge – $11,500

·         Joyce Beatty – $7,500

·         Tim Ryan – $4,000

·         Steve Chabot – $2,500

·         Anthony Gonzalez – $2,000

·         Troy Balderson – $1,000

·         Bob Gibbs – $1,000

 I showed this to Ralph and had him look at Senator Portman’s website.  Big Pharma isn’t mentioned or thanked.  Portman has found other ways to thank them and earn their favor.  Our political donations are whispering while the real money, the PAC money is shouting. 

Prescription Drug prices have spiraled out of control for years.  The creation of Medicare Part D in 2003 was a license to print money.  Every couple of years Washington flirts with the concept of regaining control.  Success is hardly guaranteed. 

A quick bit of history:  Medicare Part D specifically prohibits the government (the Secretary of Health and Human Services) from negotiating with the drug manufacturers over price.  This is called the “noninterference clause”.  My clients are still surprised by this.  What is not surprising is that the Congressman who co-authored the legislation, Billy Tauzin (R-La) was also negotiating with Big Pharma to become their top lobbyist at a salary of $2 million per year.  He had that job from 2004 through 2010.  We continue to be impacted by his efforts to this very day. 

Congress, or at least some members of Congress, would like to eliminate the noninterference clause.  As you can imagine, Big Pharma is not happy.  They have two tools (weapons) at their disposal, money and emotion.  We know that the money is flowing to elected officials.  Emotion and fear are on full view on our TV screens.  By now you have been introduced to Sue from Ohio, an ad that the Washington Post rated 3 Pinocchios.  There will be more Sue’s and more misleading BS.  

Will we, the consumers, win this time or will Big Pharma win again?  It is way too early to tell.  There is legislation pending that may pass as currently written, be watered down to irrelevance, or just defeated by filibuster in the Senate.  You can contact your Congressman and/or Senator. But it is important to remember that you may donate what seems to you a lot of money, but it is, in truth, but a whisper. 

DAVE 

www.cunixinsurance.com

 Picture – Take One Daily – David L Cunix