CarriageTowneNews.com, Kingston, NH

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January 2, 2014

Four ways to tell if Affordable Care Act is working

WASHINGTON — We are now days into the health-care law's insurance expansion, which began at midnight on Jan. 1. And it is, alas, far too early to tell if the nation's new health-care reform is working. We know that no "death panels" have materialized but, aside from that, have very little information about how the Affordable Care Act's newly insured are changing our health-care system.

It is not too early though to think a bit about what "working" actually means. There are a handful of ways that we tend to measure the success of health insurance expansions in the United States. The Patient Protection and Affordable Care Act (ACA) is no exception here; it's a complex law where there are at least four policy outcomes that all count as some definition of "working."

Do more people have health insurance?

One key goal of the health law was to reduce the uninsured rate by making it easier for the 48 million Americans without insurance coverage to get it. The Congressional Budget Office projects that about 30 million people will gain coverage over the next decade, compared to a scenario where the ACA had never passed. That will be one yardstick by which to tell if the health-care law is working: Whether more people have coverage.

This is actually difficult to measure, at least in the short-term, because there's no national clearinghouse of people who do or don't have insurance. The combination of insurance cancellations and exchange sign-ups make it really hard to know, at this very moment, whether the health law has led to a net gain in coverage. The Census Bureau does do annual surveys on insured rates, but those come out on a bit of a delay. The federal agency won't publish data on 2014, for example, until the fall of 2015.

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Obituaries
  • Elwood (Al) Shaw, 93

    Meredith, NH — Elwood (Al) Shaw, 93, of Center Harbor, passed away peacefully on Sunday, March 30, 2014, at Forestview Manor in Meredith. He was the beloved husband of the late Greta L. (Sykes) Shaw, to whom he was married for 62 years.

    Continued ...
    The Carriage Towne News Thu, April 17
    3 days 1 Photo
  • Jo Ann Hughes, 79

    Sandown, NH — Jo Ann (Phelps) Hughes of Sandown, New Hampshire passed away on Thursday, March 27, 2014, surrounded by all of her children at home. She was born in Little Bend Kentucky, to Beatrice (Shepherd) Phelps and John (Cat) Phelps in 1934. Jo Ann was predeceased by brothers, Marcus Phelps, Johnny Phelps, Forrest Phelps and sisters, Juanita Phelps, and Jeanette (Phelps) Vincent. She is survived by brother, Donald Quiggins of Georgia; sisters, Geneva (Phelps) Stanley of Kentucky, and Frances (Phelps) Bratcher of Tennessee who had just visited Jo Ann in September of 2013.

    Continued ...
    The Carriage Towne News Thu, April 17
    3 days 1 Photo
  • Sherry Lynn (Cookson) Scanzilo

    Raymond, NH — Sherry Lynn (Cookson) Scanzillo, 58, of Raymond, N.H., passed away Saturday, April 5, 2014, at the Elliot Hospital surrounded by her loving family after a sudden illness.

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    The Carriage Towne News Thu, April 17
    3 days 1 Photo
  • Thomas Hugh Clinton, 73

    Atkinson, NH — Tom passed away on Sunday, March 30, 2014, at Elliot Hospital in Manchester. Tom was born on October, 30, 1940, at Clover Hill Hospital in Lawrence, Mass., as the only child to Hugh Clinton and Evelyn (Forcier) Clinton. Tom graduated from Methuen High School in 195

    Continued ...
    The Carriage Towne News Thu, April 17
    3 days 1 Photo
  • Jo Ann Hughes, 79

    Sandown, NH — Jo Ann (Phelps) Hughes of Sandown, New Hampshire passed away on Thursday, March 27, 2014, surrounded by all of her children at home. She was born in Little Bend Kentucky, to Beatrice (Shepherd) Phelps and John (Cat) Phelps in 1934. Jo Ann was predeceased by brothers, Marcus Phelps, Johnny Phelps, Forrest Phelps and sisters, Juanita Phelps, and Jeanette (Phelps) Vincent. She is survived by brother, Donald Quiggins of Georgia; sisters, Geneva (Phelps) Stanley of Kentucky, and Frances (Phelps) Bratcher of Tennessee who had just visited Jo Ann in September of 2013.

    Continued ...
    The Carriage Towne News Thu, April 10
    10 days

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