Happy Anniversary to the Affordable Care Act!!

Here is a master list of some of my favorite PPACA resources, feel free to inform yourself, or help educate someone else who may have inaccurate ideas about the content or the meaning of the healthcare law.

As more and more of the legislation goes into effect, there are going to be more and more myths floating around, so bookmark this for future reference! ;)

This is my absolute favorite reference- if you only bookmark one page make it this one: http://abaldwin360.tumblr.com/post/25504467630/what-exactly-is-obamacare-and-what-does-it-change

(this one has citations to the ACA: http://www.reddit.com/r/explainlikeimfive/comments/vb8vs/eli5_what_exactly_is_obamacare_and_what_did_it/c530lfx)

The “non-partisan” (slightly right-leaning) site ProCon.org’s take is even Obamacare friendly: http://healthcarereform.procon.org/

Kaiser’s Consumer Guide: http://www.kaiserhealthnews.org/Stories/2010/March/22/consumers-guide-health-reform.aspx

How the ACA affects disabled people: http://www.healthcare.gov/news/factsheets/2010/11/affordable-care-act-americans-disabilities.html

Information on a federally sponsored exchange option (NOT A PUBLIC OPTION) http://rollingforwardwithobama.tumblr.com/post/35590678493/a-federally-sponsored-non-profit-health-insurance

Information on the Exchange Marketplace: http://www.healthcare.gov/marketplace/index.html

The HHS website developed specifically to help the public understand the law: http://www.healthcare.gov/index.html

The ENTIRE TEXT of the Healthcare Law! http://www.healthcare.gov/law/full/index.html

Also found here: http://housedocs.house.gov/energycommerce/ppacacon.pdf

The entire text of the Supreme Court decision on the constitutionality of the ACA: http://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf

and last but not least:

The ENTIRE LIST of Obamacare myths on Snopes! 


When what happened today, happened.

I was sitting with a bunch of co-workers in a conference room, eyes and ears tuned to CNN and watching Wolf Blitzer talking to their correspondent at the Supreme Court, waiting for the chyron to change, indicating that their producer inside the building got word of the Justices’ ruling.

And when that lower-third flashed — that SCOTUS had killed the individual mandate — my heart sank. I pounded once on the table in frustration and anger and sadness and caught my colleagues off guard. I admittedly have a dog in this fight — community health providers who I’ve worked with for a long time — and just to be sure we were all on the same page, I gave them a call.

But no sooner than they answered the phone did I see a Reuters post on my Dashboard: the Supremes had UPHELD the law. I let my friends know that CNN had reported that the individual mandate was dead — but now Reuters was saying something else. I put them on hold, grabbed the remote and desperately went to find MSNBC. Heaven knows I wasn’t going to Fox.

And there it was, right there on screen: the Court ruled that the Patient Protection and Affordable Care Act, years in the making, was constitutional after all. Well, the main guts of it: the individual mandate. It was intact. We didn’t know the breakdown but Chief Justice John Roberts, a conservative appointed by George W. Bush, had apparently sided with the liberals on the bench.

It was at that moment I pounded the table again and let out a whoop, along with just about everyone else in the room: we were going to have universal healthcare in our lifetimes.

My heart’s still racing now, at the thought of it. Every American will have access to healthcare insurance, and access to quality care. And while I have no illusion that the Republicans won’t fight this tooth and nail all the way to 2014, what we’ve witnessed here is the endgame of a President who saw what needed to be done and who, with his fellow lawmakers, carried the ball into the end zone.  Principled men and women who spent political capital and made personal sacrifices to see to it that tens of millions of our fellow citizens were now on a level playing field.

It’s a historic day for our nation, and I am proud, so proud, to call Barack Obama my president.

Thank you, sir.

In their quest to repeal and replace Obamacare, three Republican lawmakers have offered an alternative proposal to the health reform law that would roll back some of its major consumer protections, including maternity care for pregnant women.

Now that Republicans have control of Congress, and a Supreme Court challenge against Obamacare threatens to undermine the current structure of the law’s state-level marketplaces, GOP lawmakers are under more pressure to put forth their own health care proposals. Over the past several years, the party has not been able to unite around a single Obamacare replacement, and outside observers have become increasingly skeptical that Republicans have any kind of viable alternative at all.

On Wednesday, three Republicans attempted to allay those concerns by putting forth the first health care plan the GOP has unveiled this year. The proposed “Patient Choice, Affordability, Responsibility, and Empowerment Act” has not yet been been translated into legislative language, so it’s unclear how it will operate in practice.

Nonetheless, it’s evident that the GOP lawmakers — Sen. Richard Burr (NC), Sen. Orrin Hatch (UT), and Rep. Fred Upton (MI) — are looking to undo many of the protections that Obamacare put in place for Americans who may struggle to afford insurance.

The Burr-Hatch-Upton plan would eliminate Obamacare’s expansion of Medicaid, which seeks to expand public health insurance to additional low-income people. It would also scale back the tax subsidies to help people purchase private plans. And it seeks to reduce federal regulation of “essential benefits,” dropping the current requirement for insurers to offer coverage for maternity care.

Obamacare mandates maternity coverage in all of the plans sold on its state-level marketplaces, a provision that quickly became a sticking point among opponents to the health law. Critics have latched onto it as an example of why they believe unnecessarily generous benefits will drive up health costs, complaining that having children is a choice and not everyone will need maternity care. During one House hearing, GOP lawmakers sarcastically asked former Health and Human Services Secretary Kathleen Sebelius if she had ever heard of a man getting pregnant. Now, the Burr-Hatch-Upton plan addresses their concerns.

Expanding access to maternity coverage is designed to address the gender-based disparities that were rampant in the individual market before Obamacare. The old system ensured that women ended up paying much more for their health care than men — largely because they require specific reproductive health services like birth control, mammograms, Pap smears, and, yes, maternity care.

Before the Affordable Care Act went into effect, maternity coverage was routinely excluded from the individual insurance market. According to the National Women’s Law Center (NWLC), just 12 percent of plans on the market offered coverage for pregnancy-related care. And giving birth without any type of insurance coverage is financially impossible for most women; childbirth in the United States costs more than anywhere else in the world.

Obamacare proponents argue that reducing women’s costs for maternity services will hopefully allow more of them to get critical health care, something that helps ensure healthy pregnancies and healthy babies. They say paying into a system that encourages those positive benefits will make for a stronger society.

For instance, Sen. Tom Harkin (D-IA) has made a social responsibility argument for maternity coverage, comparing it to the property taxes that fund public schools. “Maybe because my wife and I do not have any more children and they are grown up, maybe I should not have to pay property taxes to pay for my local schools,” he said at a legislative committee meeting in 2013. “We are better than that in this country. We are talking about being part of our society. It is to our benefit, my wife and I, to support our local schools because that is our next generation, we want them well taught. Same with health care. It is a values system.”

While it’s true that men do not get pregnant (although they certainly play a critical role in creating the condition), these are hardly rare procedures. A full 25 percent of all U.S. hospitalizations are a consequence of pregnancy and childbirth, according to an analysis from the Kaiser Family Foundation.

The Burr-Hatch-Upton plan is very similar to a GOP proposal introduced at the beginning of last year that never got off the ground. Still, according to the Washington Post, “health policy aides for Burr, Hatch and Upton said this plan could be the basis for the party’s long-term vision for health reform.”

H/T: Tara Culp-Ressler at Think Progress Health

“What the Court did not do on its last day in session, I will do on my first day if elected President of the United States, and that is I will act to repeal Obamacare.“

— Mitt Romney, June 28, 2012video source

What EXACTLY is Romney Vowing to Take Away from You and Your Family?

The Patient Protection and Affordable Care Act (aka PPACA, ACA or ObamaCare) forces insurance companies to play by the rules, prohibiting them from dropping your coverage if you get sick, billing you into bankruptcy because of an annual or lifetime limit, or, soon, discriminating against anyone with a pre-existing condition. 

All Americans will have the security of knowing that they don’t have to worry about losing coverage if they’re laid off or change jobs.  And insurance companies now have to cover your preventive care like mammograms and other cancer screenings. 

ObamaCare is already making a difference by:

1) Increasing Access to Affordable Care

Millions of Americans have gained new access to more affordable health coverage and care.

  • Coverage for young adults until age 26: 3.1 million young adults who were uninsured have gained coverage by being able to stay on their parent’s health plan, giving their families peace of mind.
  • Access to free preventive services: 54 million additional Americans now receive coverage through their private health insurance plan for many preventive services without cost sharing such as copays or deductibles. That means that more Americans will receive wellness visits, cancer screenings and other services that will help them get and stay healthy. Women can now get coverage— without cost-sharing—of even more preventive services they need.  Approximately 47 million women now have guaranteed access to additional preventive services without cost-sharing for policies renewing on or after August 1, 2012.
  • Coverage for people with pre-existing conditions: 82,000 Americans with pre-existing conditions have gained coverage through the Pre-Existing Condition Insurance Plan. This temporary program makes health coverage available and more affordable for individuals who are uninsured and have been denied health insurance because of a pre-existing condition.
  • Investing in primary care: The health care law invests in training and supporting thousands of new primary care doctors and nurses by providing bonus payments, scholarships and loan repayment, and new training opportunities.
  • Community Health Centers: Community Health Centers improve the health of the nation and assure access to quality primary health care services at more than 8,000 service delivery sites around the country. Since the beginning of 2009, health centers have increased the total number of patients served on an annual basis by 2.4 million.

2) Making Care More Affordable

The health care law is bringing down health care costs and making sure health care dollars are spent wisely.

  • 80/20 Rule: The health insurance companies of 76 million Americans now have to meet the 80/20 rule, or Medical Loss Ratio, where they must spend at least 80 cents of your premium dollar on your health care or improvements to care. If they fail to meet this standard, they must provide a rebate to their customers. Already, the 80/20 rule is helping deliver rebates worth $1.1 billion to nearly 13 million consumers – an average rebate of $151 per household.
  • Reviewing premium increases: For the first time ever in every State, insurance companies must publicly justify any rate increase of 10% or more. And the law gives States new resources to review and block these premium hikes. To date, rate review has helped save an estimated $1 billion for Americans and 42 States have used their rate review grant funds to make the rate review process stronger and more transparent.
  • Small business tax credits: Small businesses have long paid a higher price for health insurance – often 18% more than larger employers. Tax credits for small businesses will benefit an estimated two million workers who get their insurance from an estimated 360,000 small employers who received the credit in 2011. In 2014, small business owners will get more relief with tax credits and affordable insurance choices in the new competitive health insurance marketplace in every State.
  • Supporting early retiree coverage: The Early Retiree Reinsurance Program (ERRP) has provided $5 billion in reinsurance payments to employers so they can continue to provide benefits to their retired workers who are not yet eligible for Medicare. This program has reduced premiums or cost sharing for at least 19 million early retirees, workers, their spouses, surviving spouses and dependents.

3) Strengthening Medicare

Nearly 50 million seniors and Americans with disabilities depend on Medicare every day. The health care law makes Medicare stronger and extends the life of the Medicare Trust Fund by eight years.

  • Reducing prescription drug costs in Medicare: Nearly 5.4 million seniors and people with disabilities have saved more than $4.1 billion on prescription drugs thanks to the Affordable Care Act. These savings include a one-time $250 rebate check to seniors who fell into the prescription drug coverage gap known as the “donut hole” in 2010, and a 50% discount on brand-name drugs. Seniors in the “donut hole” have saved an average of $768. 
  • Medicare preventive benefits: The Affordable Care Act makes many key preventive services available with no co-pay or deductible to help ensure that seniors don’t have to skip a potentially life-saving cancer screening because they can’t afford it. More than 32.5 million seniors have already received one or more free preventive services, including the new Annual Wellness Visit. During the first seven months of 2012, the health care law has helped nearly 18 million people with original Medicare get at least one preventive service at no cost to them.
  • Saving money for seniors: The average person with Medicare will save approximately $4,200 from 2011 to 2021, while those with high prescription drug costs will save much more – as much as $16,000 over the same period. This is especially good news for people with chronic conditions such as diabetes and high blood pressure who must take their medication every day for many years.
  • Fighting fraud and saving taxpayer dollars: The health care law helps stop fraud with tougher screening procedures, stronger penalties, and new technology. Total recoveries over the last three years were $10.7 billion and prosecutions are up too. Learn more about these efforts at StopMedicareFraud.gov.

4) Holding Insurance Companies Accountable

Under the law, patients have more rights and protections – and more security that their coverage will be there for them when they need it. For example:

  • No more pre-existing condition denials for children: The parents of over 17.6 million children with pre-existing conditions no longer have to worry that their children will be denied coverage because of a pre-existing condition.
  • No more lifetime dollar limits on coverage: 105 million Americans no longer have a lifetime dollar limit on essential health benefits. Annual dollar limits are set at increasingly higher amounts until January 1, 2014 when most plans issued or renewed are banned from having an annual dollar limit on coverage.
  • Insurance companies can’t drop your coverage when you get sick: You no longer need to fear that your insurance company can rescind or take away coverage when they get sick because of an unintentional mistake on an application.
  • No more coverage denials without appeal: Many Americans with private coverage now have the right to appeal an insurance company’s coverage decision and the Affordable Care Act provides you with information and assistance to give you more control over your health care decisions.
  • Helping consumers understand their coverage: The Health Insurance Finder on HealthCare.gov gives you information about the health plan choices in your community. Starting in September 2012, health plans will provide you with clear, consistent and comparable information about their health plan benefits and coverage. The Summary of Benefits and Coverage forms will enable you to easily understand your health coverage and determine the best health insurance options for your family.

5) Laying the Foundation for 2014

Starting in 2014, a new competitive health insurance marketplace will make it easy for you to compare qualified health plans, get answers to questions, find out if you are eligible for tax credits for private insurance or health programs like Medicaid and the Children’s Health Insurance Program (CHIP), and enroll in a health plan that meets your needs.

  • Building the Health Insurance Marketplace: The Affordable Care Act gives States the resources and power to build and run their own competitive health insurance marketplace, sometimes called an Exchange. Thirty-four States, including the District of Columbia, are on their way, having received at total of nearly $850 million in Exchange Establishment Grants.
  • Ensuring Health Insurance Choices: The Affordable Care Act creates a new type of non-profit health insurer, called a Consumer Operated and Oriented Plan (CO-OP). These insurers are run by their members. CO-OPs are meant to offer consumer-friendly, affordable health insurance options to individuals and small businesses. Already 20 non-profits intending to offer coverage in 20 states have been awarded more than $1.5 billion in loans to get up and running.
  • Banning the Worst Insurance Practices: Starting in 2014, the Affordable Care Act will prohibit health insurers from charging more or denying coverage to people because of pre-existing conditions. It will also make charging women more for health insurance a thing of the past.

Get the FACTS at Healthcare.gov
The Challenges that come with Obamacare

about-hortense replied to your post: Great, lots more people are about to have insurance.

i don’t understand the meaning of that BUT. This topic intrigues me a lot and, as a non-american, I’d like you to stretch out ya point of view which, obviosuly, lingers behind that opening adversative.

What I was referring to is that there’s a huge deficit of primary care doctors in this country, and our system does not do a very good job of encouraging trainees to go into primary care.  

Putting it simplistically, billing in the American medical system is based on procedures, tests, and the complexity of diagnoses. Doctors bill a certain amount for different things, and insurance companies generally pay a higher percentage of what doctors charge than government programs like Medicare and Medicaid pay. So the more patients you have with private insurance, the better your reimbursement rates.

The problem is that things like preventive care and regular follow-ups for chronic conditions (things which should theoretically save the system money by preventing conditions that require expensive procedures and tests) are not considered complex enough to warrant decent pay from government payor sources (Medicare/Medicaid). And guess what takes up the majority of primary care docs time? You guessed it, preventive care and follow up visits. 

Keep reading

Chris Collins (R - NY), unsympathetic idiot extraordinaire.

The Supreme Court today upheld the Affordable Care Act, the health care reform law signed by President Obama in 2010, ruling 5-4 that the law was constitutional. Chief Justice John Roberts joined Justices Sonya Sotomayor, Stephen Breyer, Ruth Bader Ginsburg, and Elena Kagan on the opinion. The individual mandate, the requirement that all Americans purchase health insurance or pay a fine, was upheld as legal under Congress’ taxing ability.

Health care reform isn’t important just because it expands access to quality, affordable care, but also because rapidly rising costs and the fact that 30 million Americans don’t have insurance are weighing down the American economy. Here are four reasons why the Court’s decision is good news for the still-struggling economy:

1) Obamacare will reduce the deficit. The Congressional Budget Office estimated in 2011 that Obamacare will reduce the federal deficit by $210 billionover the next decade. The law is expected to save about $1 trillion over its second decade, according to other CBO analyses. The CBO found that repealing the law, as Republicans attempted to do in 2011, would increase the deficit by$230 billion over the next 10 years.

2) Health care costs for young Americans won’t skyrocket. More than 3.1 million young Americans have insurance thanks to Obamacare. Without the law, the cost of acquiring an equivalent health care plan would have risen dramatically at a time when young people are still struggling with the effects of the Great Recession.

3) Millions of jobs will be created. Health reform will help create roughly 4 million jobs over the next decade, according to a 2010 Center for American Progress report, by reducing the cost of health care and making it cheaper for businesses to hire. The law will create between 250,000 and 400,000 jobs a year, and they will be spread across sectors: according to the study, the law will help create more than 200,000 manufacturing and 900,000 in the service sector by 2016.

4) It will be cheaper for employers to provide health care. American businesses are under tremendous pressure thanks to rising health care costs, and these costs are often passed on to customers (one study estimates that each car sold by General Motors contains $1,200 in built-in health costs). The ACA, however, will make it cheaper for businesses to provide care, and not just by reducing the cost of care. Small businesses are already receiving tax credits contained in the law to help insure their employees, and it has already offered more than $4.7 billion in reinsurance payments to companies that are providing health care to retirees who aren’t yet eligible for Medicare.

Even a judge who was a finalist for appointment to the Supreme Court under George W. Bush agreed that striking down health care would have had disastrous consequences for the American economy. 

h/t: Travis Waldron at Think Progress Economy

That’s a scandal—those people are guilty of murder in my opinion. Some of those people they persuade are going to end up dying because they don’t have health insurance. For people who do that to other people in the name of some obscure political ideology is one of the grossest violations of our humanity I can think of.
—  Angus King (I-ME), on conservatives’ attempts to dissuade uninsured people from enrolling in PPACA [Obamacare]

All the conservatives whining about “free birth control” need to sit the fuck down and learn how insurance works. 

You pay a premium, plus copay when you get the actual service. The only thing that has changed is THERE IS NO MORE COPAY FOR BIRTH CONTROL. You still pay the insurance company a premium in the first place. Birth control is fully covered by the insurance company, but you’re still paying for the plan. THEREFORE IT IS NOT FREE. YOU ARE STILL PAYING FOR YOUR OWN BIRTH CONTROL BY PAYING FOR HEALTH INSURANCE. 

Apparently this is a difficult concept for people. 

  1. OBAMACARE IS A JOB-KILLER.   “The impartial truth squad FactCheck.org has debunked the job-killer claim so many times that in its latest update you can hear a groan of weary frustration: words like ‘whopper’ and 'bogus’ and 'hooey.’ The job-killer claim is also discredited by the experience under the Massachusetts law on which Obamacare was modeled.”
  2. OBAMACARE IS A FEDERAL TAKEOVER OF HEALTH INSURANCE.  “Let’s be blunt. The word for that is 'lie.’”
  3. THE UNFETTERED MARKETPLACE IS A BETTER SOLUTION.  “I’m deeply suspicious of the claim that a health care system dominated by powerful vested interests and mystifying in its complexity can be tamed by consumers who are strapped for time, often poor, sometimes uneducated, confused and afraid.”
  4. LEAVE IT TO THE STATES. THEY’LL FIX IT.   “You’ve heard a lot about the Massachusetts law. You may not have heard about the seven other states that passed laws requiring insurers to offer coverage to all. They were dismal failures because they failed to mandate that everyone, including the young and healthy, buy in. Massachusetts — fairly progressive, relatively affluent, with an abundance of health providers — included a mandate and became the successful exception. To expand that program beyond Massachusetts required … Barack Obama.”
  5. OBAMACARE IS A LOSER. RUN AGAINST IT, RUN FROM IT, BUT FOR HEAVEN’S SAKE DON’T RUN ON IT.  “If the Obama campaign needs a snappy one-liner, it could borrow this one from David Cutler: 'Never before in history has a candidate run for president with the idea that too many people have insurance coverage.’”

The Pre-Existing Condition Insurance Plan is a state-by-state owned plan that covers adults with pre-existing conditions and cannot afford insurance until the ACA is fully implemented in 2014. 

Please pass this along–it might save a life!

*You must be a US citizen to apply

Obamacare: Delivering Affordable Health Care

I know there will be a lot of discussion today about the politics of all this, about who won and who lost. But that discussion completely misses the point. Whatever the politics, today’s decision was a victory for people all over this country whose lives will be more secure because of this law and the Supreme Court’s decision to uphold it. 

If you’re one of the more than 250 million Americans who already have health insurance, you will keep your health insurance—this law will only make it more secure and more affordable. 

Insurance companies can no longer impose lifetime limits on the amount of care you receive. They can no longer discriminate against children with pre-existing conditions. They can no longer drop your coverage if you get sick. They can no longer jack up your premiums without reason. 

They are required to provide free preventive care like check-ups and mammograms. Young adults under the age of 26 are able to stay on their parent’s health care plans. Seniors receive a discount on their prescription drugs. 

And by this August, nearly 13 million of you will receive a rebate from your insurance company because it spent too much on things like administrative costs and CEO bonuses, and not enough on your health care. All of this is happening because of the Affordable Care Act. 

Today, I’m as confident as ever that when we look back five years from now, or 10 years from now, or 20 years from now, we’ll be better off because we had the courage to pass this law and keep moving forward.

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President Obama’s health reform law requires that new health insurance plans cover preventive services with no co-pay or deductible.

In the last 18 months, approximately 20.4 million women with private health insurance have received preventive health services such as mammograms and pap smears at no additional cost because of this provision in the Patient Protection and Affordable Care Act (aka ObamaCare).

ObamaCares About Women.

On the flip side, we have Republicans who believe American women should pay thousands out-of-pocket for mammograms and pap smears, and if they can’t afford it, best to just die quickly from undiagnosed breast or uterine cancer.

Chief Justice John Roberts initially sided with the Supreme Court’s four conservative justices to strike down the heart of President Obama’s health care reform law, the Affordable Care Act, but later changed his position and formed an alliance with liberals to uphold the bulk of the law, according to two sources with specific knowledge of the deliberations.

Roberts then withstood a month-long, desperate campaign to bring him back to his original position, the sources said. Ironically, Justice Anthony Kennedy - believed by many conservatives to be the justice most likely to defect and vote for the law - led the effort to try to bring Roberts back to the fold.

“He was relentless,” one source said of Kennedy’s efforts. “He was very engaged in this.”

But this time, Roberts held firm. And so the conservatives handed him their own message which, as one justice put it, essentially translated into, “You’re on your own.”

The conservatives refused to join any aspect of his opinion, including sections with which they agreed, such as his analysis imposing limits on Congress’ power under the Commerce Clause, the sources said.

Instead, the four joined forces and crafted a highly unusual, unsigned joint dissent. They deliberately ignored Roberts’ decision, the sources said, as if they were no longer even willing to engage with him in debate.


CBS News, “Roberts Switched Views to Uphold Health Care Law.”

I picture the four conservative Justices standing on the other side of the playground, arms crossed, pouting, and unwilling to play with the others anymore, and kicking out sand from the sandbox and peeing all over the playground equipment to make sure no one else plays, either.

Citizens United doesn’t matter anymore to conservatives.  As far as they’re concerned, John Roberts is Benedict fucking Arnold, and he’s figuratively dead to them.

For the past several months, Senate Minority Leader Mitch McConnell has tried to have it both ways on Kynect, Kentucky’s popular implementation of Obamacare that has delivered health insurance to more than 500,000 Kentuckians. On the one hand, McConnell has said he wants to repeal Obamacare, but on the other hand, he also says Kynect should remain in place if Kentucky wants to keep it.

There’s no reasonable way to square those two positions—you can’t repeal Obamacare without repealing Kynect, and you can’t keep Kynect without keeping Obamacare—but that hasn’t stopped McConnell from taking them both. His campaign seems to be perfectly aware of the fact that the two positions cannot be reconciled as evidenced by the fact that despite repeated attempts by Sam Stein of The Huffington Post to get them to clarify his position, theyrefused to respond:

The Huffington Post asked the McConnell campaign that very question the day after the debate. We asked the campaign the same question twice more that day. Then, we posed the question to them seven more times over the subsequent nine days. We also called the campaign twice. The campaign never responded.

But now McConnell’s team has finally responded, albeit through his official Senate office:

A spokesman for the minority leader confirmed that he wants to repeal the full health care law, including not just the federal subsidies for people purchasing on exchanges like Kynect, but also the mandates and taxes on high-cost plans and other features of the legislation.

Keeping Kynect without keeping its subsidies would be like keeping Social Security without Social Security checks—it would be keeping it in name only. And with its statement to The Huffington Post, McConnell is now on record conceding that is what his position is.

It was obvious all along that McConnell was full of it. And now we’ve got confirmation—from his own office, no less.

h/t: Jed Lewison at Daily Kos Elections