Hillary Clinton has already said that if the Republicans take the White House, the Affordable Care Act would be repealed. In other speeches, she has stated that her work with the Clinton Health Security Act laid the groundwork for the ACA. True, but so did Truman, Johnson, and even Nixon in the various pieces of legislation they passed…but they are not around to claim it.

Why are they Surprised the Rates went up? Actually not much

Pundits and payers are up in arms because it has just been announced that the rates under the Covered California Exchange “negotiated” a 4% rate increase for the 2016 ACA plans. If it was truly negotiated, then some day it won’t – claims are claims, and finally rates are rates. What we have not yet seen are what the carriers will do on a direct basis. If they go up the same, then so much for negotiation. If they go up more…then negotiate away. It will all devolve to the mean anyway, because it’s a mean world…