Real World Health Care Blog

Tag Archives: congress

President Obama Urges “Millenials” to Sign up for Coverage under Affordable Care Act

In recent days the Obama Administration has been intensifying outreach efforts to increase the number of young people who enroll for insurance coverage under the Affordable Care Act (ACA) before the March 31, 2014 deadline.

Paul DeMiglio

Paul DeMiglio

During a speech in Boston on Oct. 30, President Obama pushed back against criticism of ACA – which he signed into law in March 2010 – by seeking to draw parallels to the Massachusetts’ health care insurance law (“Romneycare”) that then-Governor Mitt Romney signed into law four years earlier.

“And if it was hard doing it just in one state, it’s harder to do it in all 50 states, especially when the governors of a bunch of states and half of the Congress aren’t trying to help. Yes, it’s hard, but it’s worth it. It is the right thing to do, and we are going to keep moving forward. We are going to keep working to improve the law, just like you did here in Massachusetts.”

Governor Romney, on the other hand, rejected the comparison, describing the “Obamacare” rollout as a “frustrating embarrassment” that has failed to learn “the lessons of Massachusetts’ health care.”

However, the two laws did face similar challenges at the start of their implementation, especially among young people. Romneycare saw an extremely low registration rate among younger demographics until the deadline. Likewise – although the White House set a goal of getting 2.7 million 18-34 year olds signed up through HealthCare.gov by the end of March – a recent study by the Commonwealth Fund revealed that only one in five people who visited the federal or state enrollment sites were 18-29.

A Dec. 4 article in The New York Times makes the case that many young people are likely to follow enrollment patterns that were similar to those in Massachusetts in 2006 – by pushing it off until the deadline hits.

“The experience of Massachusetts under Gov. Mitt Romney showed that most people, especially young people, acted only when they approached a deadline,” write Jonathan Weisman and Michael Shear, “and with the federal law, the deadline to have insurance or pay a penalty is months away.”

According to an Oct. 30 article in Business Insider, two former Massachusetts officials who played major roles in creating and rolling out the Massachusetts health law — Jonathan Gruber and Jon Kingsdale – say successful implementation of massive health care changes can come slowly at first:

“In Massachusetts, the officials said, only .03% of the share of Massachusetts residents who eventually enrolled for health insurance signed up in the first month the law went into effect. In the final month of enrollment, before the mandate to purchase insurance kicked in, more than 20% of the final tally signed up.”

Last week President Obama renewed strategies to increase enrollment rates by actively engaging young people, who are widely seen as critical to the financial stability of Obamacare. Addressing 160 participants from across the country at the Dec. 4 Youth Summit, the President urged “Millenials” – including DJs, entrepreneurs and organizational heads – to talk up Obamacare and get their peers to sign up on HealthCare.gov.

The Washington Post is reporting signs that enrollment among younger Americans is beginning to pick up, with a three-day total of about 56,000 from Dec. 1-3 – more than twice the number of online signups on HealthCare.gov during the entire month of October.

Now tell us what you think. Can Romneycare serve as an effective model for implementation of Obamacare, especially with respect to generating more signups among younger population demographics? What, if any, provisions from that law are applicable to rolling out the ACA? Have you tried to enroll on HealthCare.gov and were you successful?

Categories: Access to Care

Experts Say More Med Students Good News for U.S. Health Care

Fresh data released just last week demonstrates that new student enrollment at medical schools is on the rise nationwide.

Paul DeMiglio

Paul DeMiglio

The Association of American Medical Colleges (AAMC) announced Thursday that the total number of those who applied to and were accepted into medical school grew by 6.1 percent this year to a record 48,014. This figure beats out
— by 1,049 students — the previous all-time high set in 1996. The AAMC, which represents U.S. hospitals, health systems, Department of Veterans Affairs medical centers, academic societies and 141 accredited U.S. and 17 accredited Canadian medical schools, also found that:

  • The number of first-time applicants climbed to 35,727 (5.5 percent increase).
  • The number of students enrolled in their first year of medical school went past 20,000 for the first time. 

“At a time when the nation faces a shortage of more than 90,000 doctors by the end of the decade and millions are gaining access to health insurance, we are very glad that more students than ever want to become physicians. However, unless Congress lifts the 16-year-old cap on federal support for residency training, we will still face a shortfall of physicians across dozens of specialties,” AAMC President and CEO Darrell G. Kirch, M.D. said in a statement. “Students are doing their part by applying to medical school in record numbers. Medical schools are doing their part by expanding enrollment. Now Congress needs to do its part and act without delay to expand residency training to ensure that everyone who needs a doctor has access to one.”

Record-breaking enrollment is also being seen at colleges of osteopathic medicine, where 20% of medical students are enrolled. Although they make up a smaller number of students, their growth rates increased even faster. In an announcement released Wednesday by the American Association of Colleges of Osteopathic Medicine (AACOM), experts say this trend will help offset the looming primary care crisis that will result from a growing shortfall in the number of doctors.

Enrollment at colleges of osteopathic medicine has almost doubled over the past decade, with the number of students who applied this year hitting 16,454. Other key findings, according to AACOM, show that:

  • Osteopathic medical colleges saw an 11.1 percent increase in first-year student enrollment for 2013, bringing total enrollment to 22,054.
  • 4,726 new osteopathic physicians graduated this past spring, representing an increase of more than 50% over the number of such graduates 10 years ago.

“Because large numbers of new osteopathic physicians become primary care physicians, often in rural and underserved areas, I’m hopeful that the osteopathic medical profession can help the nation avoid a primary care crisis and help alleviate growing physician shortages,” Stephen C. Shannon, DO, MPH, President and CEO of AACOM, said in a statement. “Interest in osteopathic medical education is at an all-time high.”

Primary care physicians are expected to be hit harder than any other specialty, with a projected shortage of about 50,000 by 2025. 

So what exactly is osteopathic medicine and osteopathic physicians (DOs)? According to AACOM, which represents the nation’s 30 colleges of osteopathic medicine at 40 locations in 28 states, DOs offer a comprehensive, holistic approach to medical care.

One in five medical students are now enrolled in osteopathic medical schools, and this percentage will grow even more as new campuses open and colleges continue to expand to keep pace with more students.

Now it’s your turn. What are potential advantages and disadvantages of more medical school graduates – to cost, care and access? Will the rise in new enrollment be enough to offset expected physician shortages? Tell us what you think.