COVID-19

With the pace of Americans getting vaccinated slowing down to the point that we're not gonna quite meet President Biden's 4th of July target nationally (70% of adults receiving their first COVID-19 vaccination shot), there's a whole lot of hand-wringing about how much of the problem is access (i.e., people not being able to get time off of work, not having transportation to the clinic to get the shot, etc), how much of it is hesitancy (concerns about safety/efficacy, etc), and how much of it is about...well, to put it gently, being a lost or damaged soul.

Well, a new poll conducted by YouGov for Yahoo News may help answer that question (h/t Richard Skinner for the heads up). The poll, of nearly 1,600 U.S. adults, was conducted from June 22 - 24th. I've reformatted the relevant question below to fit better on this site.

The actual question as worded was: "How would you describe your personal situation regarding COVID-19 vaccines?"

MNsure Logo

via MNsure (by email):

Two weeks left to apply for private health insurance during special enrollment period

  • New cost savings available when you apply through MNsure

ST. PAUL, Minn.—Do you lack health insurance or are you currently enrolled in a health plan outside of MNsure? Don’t wait to act—you have until Friday, July 16, 2021 to apply and enroll in a plan this summer thanks to MNsure’s special enrollment period, designed to help more Minnesotans get the security of health insurance during the COVID-19 pandemic.

The COVID-19 Special Enrollment Period runs through August 15th in most states, but in Minnesota it's only available through July 15th.

To explore your options, visit MNsure.org and select “COVID special enrollment” on the homepage.

Health insurance is more affordable than ever for thousands of Minnesotans who enroll in private health plans through MNsure, thanks to the American Rescue Plan.

COVID-19

It's been clear for a couple of weeks now that, while many individual states have already long since surpassed it, nationally we aren't going to quite achieve President Biden's goal of at least 70% of U.S. adults getting their first COVID-19 vaccination shot.

With 4 days to go, we currently stand at 66.5% of all adults w/their first shot...exactly 95% of the way towards the target.

That's around 9 million adults shy of the 7/04 target...with only around 300K - 400K adults getting their first shot each day. We're likely to end up around 7.7 million short, or right around 67% of all adults.

As the Kaiser Family Foundation's Larry Levitt just noted:

This held up. 70% of adults vaccinated by July 4th was not a low bar designed for an easy political win. And, it will still be an important goal even after July 4th passes and President Biden’s target isn’t achieved, as expected. https://t.co/J0nB9XXECu

— Larry Levitt (@larry_levitt) June 30, 2021

Missouri

August 2020:

We did it!

Missouri just voted #YesOn2 to expand Medicaid, and now, because of YOUR vote, over 230,000 hardworking people will have access to life-saving healthcare! pic.twitter.com/azHN0GJjEW

— YesOn2: Healthcare for Missouri (@YesOn2MO) August 5, 2020

March 2021:

Republican lawmakers blocked Medicaid expansion funding from reaching the Missouri House floor on Wednesday, posing a setback for the voter-approved plan to increase eligibility for the state health care program.

Washington HealthPlan Finder

This just in from the Washington Health Benefit Exchange...

The Washington Health Benefit Exchange (Exchange) reports that tens of thousands of Washingtonians now pay less each month for healthcare coverage. Within two months of the American Rescue Plan Act (ARPA) becoming federal law, the Exchange passed on the expanded savings it made available to new and current customers on the state’s insurance marketplace, Washington Healthplanfinder.

“There has never been a better time to sign up for healthcare coverage in Washington,” said Pam MacEwan, Chief Executive Officer of the Exchange. “We’ve been hearing from people across the state who are saving hundreds or in some cases more than a thousand dollars per month.”

Tracy Roberts from Seattle posted to Facebook, “I just opened my bill for July and it’s $242 less than I presently pay . . . That’s incredible! Absolutely incredible and completely unexpected. Life will be a little easier for now.”

Platinum Blonde

Last week I gave a heads up about the imminent launch of the American Rescue Plan's "Unemployment Insurance Benefit" provision at HealthCare.Gov:

This, again, is a Big Deal for this year. Paired with the beefed-up APTC table, what it means is that if you're on unemployment this year you effectively don't have to pay anything for a benchmark Silver plan. I'm not sure if you have to be unemployed for the full year or not...the wording above sounds like even someone who's only on unemployment for one or two weeks would still be counted as having 133% FPL.

Sure enough, just about anyone who is either currently receiving unemployment benefits or who did earlier this year (or later this year, for that matter) is likely eligible for a FREE ($0* Premium) Silver CSR 94 plan...otherwise known as #SecretPlatinum:

CMS Logo

Last November, regular readers may recall I went on a bit of a personal crusade to rack up as much public comment as possible in opposition to several last-minute time bombs the Trump Administration attempted to plant on their way out the door:

I should also note that not every NBPP rule implemented by the Trump Administration (via CMS Administrator Seema Verma) has been terrible. Some are either perfectly in line with Obama-era NBPPs, inconsequential, and in a few cases have actually been good and helpful.

...Other proposed changes, however, can be either stupid or flat-out devastating. The proposed 2022 rule changes...which were pushed out after hours on Thanksgiving Eve, just 56 days before the Trump Administration ends...includes some OK ideas, but also includes some which would be harmful and one which would be disastrous (I've changed the order they're listed below to put the most troubling ones at the bottom):

The details get wonky, but the bottom line is that there were three proposed rule changes in particular which I was deeply concerned about:

Missouri

UPDATED 7/01/21

As my regular readers know, a few weeks ago I dove head first into a 2-week project to graph out the COVID-19 vaccination levels per capita across all 3,100+ counties to see where things stood in all 50 states.

Given how insanely politicized the COVID pandemic has been due to the Trump Administration deliberately doing so right from the outset, I ran scatter plot graphs based on what percent of the popular vote was received in each county by Trump last November for every state.

Sure enough, I found a strong inverse correlation between the two in most states, and a weaker (but still significant) correlation in many others. Correlation does not equal causation, of course, and there are plenty of other factors involved in how rapidly a population gets vaccinated, but there's no denying that partisanship is pretty clearly a significant one.

My conclusions have now been further confirmed by David Leonhardt of the New York Times:

Red America’s Covid Problem

Benefits.Gov

I received the following email:

Hi Charles,

Our son's GF moved here (Seattle) last summer from Florida. She was a few months after returning from a teaching gig in Korea (where they met), and unemployed. In FL she wasn't eligible for Medicaid, but a couple weeks after she got here I realized she would in WA.

So she signed up and it's been great, b/c in fact she did need quite a bit of overdue health services.

Now they are moving to Oregon next month and I told her, "so you're going to sign up there, right?". She tells me, "I'm not eligible there".

She shows me the Federal Benefits.gov site, and it lists for Oregon the Florida-like limitations: you have to be a parent or pregnant or disabled, etc.

I go, "that's strange..." and look up the California eligibility. Same story.

I look up WA's own eligibility according to benefits.gov - same story!!! Supposedly she's not eligible for the very same coverage she's actually enjoying right now with full approval.

Platinum Blonde

Back in March, I noted that one of the more interesting provisions of the American Rescue Plan is that anyone who receives unemployment benefits at any time during calendar year 2021 is eligible for maximum ACA subsidies:

Sec. 9663 – Application of premium tax credit in case of individuals receiving unemployment compensation during 2021

For 2021, provides advanced premium tax credits as if the taxpayer’s income was no higher than 133 percent of the federal poverty line (FPL) for individuals receiving unemployment compensation as defined in section 85(B) of the Internal Revenue Code.

This, again, is a Big Deal for this year. Paired with the beefed-up APTC table, what it means is that if you're on unemployment this year you effectively don't have to pay anything for a benchmark Silver plan. I'm not sure if you have to be unemployed for the full year or not...the wording above sounds like even someone who's only on unemployment for one or two weeks would still be counted as having 133% FPL.

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