Hi.  I support Medicare for all.  Always have. Nonetheless, the decision of
Justice Roberts not only to join the Court's liberals in sustaining
Obamacare, but author the decision, is more than welcome.  IMO, there was
more than judicial wisdom involved here.  The spotlight on the issue over
the past couple of weeks has significantly altered public opinion supporting
keeping it, but even more importantly, rapidly increasing President Obama's
lead over Romney in critical states. Healthcare would become the central
issue in the election, given Romney's pledge to wipe it out.  The threat of
the theme of the Occupation Movement, 99% vs the 1% of the ultra-wealthy
could go mainstream and grow viral over the next four months, with the
rightest momentum and agenda in peril.  Even the closed world of many poor
people now supporting that agenda, could be breached.  
 
I could go on, about the danger of fascism, were Romney elected, along with
a right congress,but will save that for a later day. 
Pay attention to President Obama's closing remarks about change "it's time
for us to move forward -- to implement and, where necessary, improve on this
law."  That did happen with a  narrow Social Security of FDR in 1936(?) not
fully developed  until President Lyndon Johnson enacted it, along with the
Civil Rights Act.  He had national opinon increasingly pushing all sorts of
rights, while Roosevelt did what he could, given the racist southern
Democrats in congress. We  have a real opportunity now, and must push the
issue and Obama, hard.  This could be the civil rights movement of the 21st
century. 
Anyway, here's the Prez on the act, Krugman on the politics..  -Ed
 
 
http://www.whitehouse.gov/the-press-office/2012/06/28/remarks-president-supr
eme-court-ruling-affordable-care-act

The White House

Office of the Press Secretary

For Immediate Release 
June 28, 2012 

Remarks by the President on Supreme Court Ruling on the Affordable Care Act




East Room

12:15 P.M. EDT

THE PRESIDENT: Good afternoon. Earlier today, the Supreme Court upheld the
constitutionality of the Affordable Care Act -- the name of the health care
reform we passed two years ago. In doing so, they've reaffirmed a
fundamental principle that here in America -- in the wealthiest nation on
Earth - no illness or accident should lead to any family's financial ruin. 

I know there will be a lot of discussion today about the politics of all
this, about who won and who lost. That's how these things tend to be viewed
here in Washington. 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.

And because this law has a direct impact on so many Americans, I want to
take this opportunity to talk about exactly what it means for you. 

First, 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 preexisting 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 -- a provision that's already helped 54
million Americans with private insurance. 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. 

There's more. Because of the Affordable Care Act, young adults under the age
of 26 are able to stay on their parent's health care plans -- a provision
that's already helped 6 million young Americans. And because of the
Affordable Care Act, seniors receive a discount on their prescription drugs
-- a discount that's already saved more than 5 million seniors on Medicare
about $600 each.

All of this is happening because of the Affordable Care Act. These
provisions provide common-sense protections for middle class families, and
they enjoy broad popular support. And thanks to today's decision, all of
these benefits and protections will continue for Americans who already have
health insurance. 

Now, if you're one of the 30 million Americans who don't yet have health
insurance, starting in 2014 this law will offer you an array of quality,
affordable, private health insurance plans to choose from. Each state will
take the lead in designing their own menu of options, and if states can come
up with even better ways of covering more people at the same quality and
cost, this law allows them to do that, too. And I've asked Congress to help
speed up that process, and give states this flexibility in year one. 

Once states set up these health insurance marketplaces, known as exchanges,
insurance companies will no longer be able to discriminate against any
American with a preexisting health condition. They won't be able to charge
you more just because you're a woman. They won't be able to bill you into
bankruptcy. If you're sick, you'll finally have the same chance to get
quality, affordable health care as everyone else. And if you can't afford
the premiums, you'll receive a credit that helps pay for it. 

Today, the Supreme Court also upheld the principle that people who can
afford health insurance should take the responsibility to buy health
insurance. This is important for two reasons. 

First, when uninsured people who can afford coverage get sick, and show up
at the emergency room for care, the rest of us end up paying for their care
in the form of higher premiums. 

And second, if you ask insurance companies to cover people with preexisting
conditions, but don't require people who can afford it to buy their own
insurance, some folks might wait until they're sick to buy the care they
need -- which would also drive up everybody else's premiums.

That's why, even though I knew it wouldn't be politically popular, and
resisted the idea when I ran for this office, we ultimately included a
provision in the Affordable Care Act that people who can afford to buy
health insurance should take the responsibility to do so. In fact, this idea
has enjoyed support from members of both parties, including the current
Republican nominee for President.

Still, I know the debate over this law has been divisive. I respect the very
real concerns that millions of Americans have shared. And I know a lot of
coverage through this health care debate has focused on what it means
politically. 

Well, it should be pretty clear by now that I didn't do this because it was
good politics. I did it because I believed it was good for the country. I
did it because I believed it was good for the American people.

There's a framed letter that hangs in my office right now. It was sent to me
during the health care debate by a woman named Natoma Canfield. For years
and years, Natoma did everything right. She bought health insurance. She
paid her premiums on time. But 18 years ago, Natoma was diagnosed with
cancer. And even though she'd been cancer-free for more than a decade, her
insurance company kept jacking up her rates, year after year. And despite
her desire to keep her coverage -- despite her fears that she would get sick
again -- she had to surrender her health insurance, and was forced to hang
her fortunes on chance. 

I carried Natoma's story with me every day of the fight to pass this law. It
reminded me of all the Americans, all across the country, who have had to
worry not only about getting sick, but about the cost of getting well. 

Natoma is well today. And because of this law, there are other Americans --
other sons and daughters, brothers and sisters, fathers and mothers -- who
will not have to hang their fortunes on chance. These are the Americans for
whom we passed this law. 

The highest Court in the land has now spoken. We will continue to implement
this law. And we'll work together to improve on it where we can. But what we
won't do -- what the country can't afford to do -- is refight the political
battles of two years ago, or go back to the way things were. 

With today's announcement, it's time for us to move forward -- to implement
and, where necessary, improve on this law. And now is the time to keep our
focus on the most urgent challenge of our time: putting people back to work,
paying down our debt, and building an economy where people can have
confidence that if they work hard, they can get ahead. 

But 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. 

Thank you. God bless you, and God bless America.

END 
12:23 P.M. EDT 

* * *

http://www.nytimes.com/2012/06/29/opinion/the-real-winners.html?nl=todayshea
dlines
<blocked::http://www.nytimes.com/2012/06/29/opinion/the-real-winners.html?nl
=todaysheadlines&emc=edit_th_20120629> &emc=edit_th_20120629
 The Real Winners
 
 Paul Krugman
NY Times Op-Ed: June 29, 2012
 
 So the Supreme Court - defying many expectations - upheld the Affordable
Care Act, a k a Obamacare. There will, no doubt, be many headlines declaring
this a big victory for President
<blocked::http://topics.nytimes.com/top/reference/timestopics/people/o/barac
k_obama/index.html?inline=nyt-per> Obama, which it is. But the real winners
are ordinary Americans - people like you.
 
 How many people are we talking about? You might say 30 million, the number
of additional people the
<blocked::http://topics.nytimes.com/top/reference/timestopics/organizations/
c/congressional_budget_office/index.html?inline=nyt-org> Congressional
Budget Office says will have health insurance thanks to Obamacare. But that
vastly understates the true number of winners because millions of other
Americans - including many who oppose the act - would have been at risk of
being one of those 30 million. 

So add in every American who currently works for a company that offers good
health insurance but is at risk of losing that job (and who isn't in this
world of outsourcing and private equity buyouts?); every American who would
have found health insurance unaffordable but will now receive crucial
financial help; every American with a pre-existing condition who would have
been flatly denied coverage in many states. 

In short, unless you belong to that tiny class of wealthy Americans who are
insulated and isolated from the realities of most people's lives, the
winners from that Supreme Court decision are your friends, your relatives,
the people you work with - and, very likely, you. For almost all of us stand
to benefit from making America a kinder and more decent society. 

But what about the cost? Put it this way: the budget office's estimate of
the cost over the next decade of Obamacare's "coverage provisions" -
basically, the subsidies needed to make insurance affordable for all - is
about only a third of the cost of the tax cuts, overwhelmingly favoring the
wealthy, that Mitt
<blocked::http://elections.nytimes.com/2012/primaries/candidates/mitt-romney
?inline=nyt-per> Romney is proposing over the same period. True, Mr. Romney
says that he would offset that cost, but he has failed to provide any
plausible explanation of how he'd do that. The Affordable Care Act, by
contrast, is fully paid for, with an explicit combination of tax increases
and spending cuts elsewhere. 

So the law that the Supreme Court upheld is an act of human decency that is
also fiscally responsible. It's not perfect, by a long shot - it is, after
all, originally a Republican plan, devised long ago as a way to forestall
the obvious alternative of extending Medicare
<blocked::http://topics.nytimes.com/top/news/health/diseasesconditionsandhea
lthtopics/medicare/index.html?inline=nyt-classifier>  to cover everyone. As
a result, it's an awkward hybrid of public and private insurance that isn't
the way anyone would have designed a system from scratch. And there will be
a long struggle to make it better, just as there was for Social
<blocked::http://topics.nytimes.com/top/reference/timestopics/subjects/s/soc
ial_security_us/index.html?inline=nyt-classifier> Security. (Bring back the
public option!) But it's still a big step toward a better - and by that I
mean morally better - society. 

Which brings us to the nature of the people who tried to kill health reform
- and who will, of course, continue their efforts despite this unexpected
defeat. 

At one level, the most striking thing about the campaign against reform was
its dishonesty. Remember "death panels"? Remember how reform's opponents
would, in the same breath, accuse Mr. Obama of promoting big government and
denounce him for cutting Medicare? Politics ain't beanbag, but, even in
these partisan times, the unscrupulous nature of the campaign against reform
was exceptional. And, rest assured, all the old lies and probably a bunch of
new ones will be rolled out again in the wake of the Supreme Court's
decision. Let's hope the Democrats are ready. 

But what was and is really striking about the anti-reformers is their
cruelty. It would be one thing if, at any point, they had offered any hint
of an alternative proposal to help Americans with pre-existing conditions,
Americans who simply can't afford expensive individual insurance, Americans
who lose coverage along with their jobs. But it has long been obvious that
the opposition's goal is simply to kill reform, never mind the human
consequences. We should all be thankful that, for the moment at least, that
effort has failed. 

Let me add a final word on the Supreme Court. 

Before the arguments began, the overwhelming consensus among legal experts
who aren't hard-core conservatives - and even among some who are - was that
Obamacare was clearly constitutional. And, in the end, thanks to Chief
<blocked::http://topics.nytimes.com/top/reference/timestopics/people/r/john_
g_jr_roberts/index.html?inline=nyt-per> Justice John Roberts Jr., the court
upheld that view. But four justices dissented, and did so in extreme terms,
proclaiming not just the much-disputed individual mandate but the whole act
unconstitutional. Given prevailing legal opinion, it's hard to see that
position as anything but naked partisanship. 

The point is that this isn't over - not on health care, not on the broader
shape of American society. The cruelty and ruthlessness that made this court
decision such a nail-biter aren't going away. 

But, for now, let's celebrate. This was a big day, a victory for due
process, decency and the American people. 

 

  _____  

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