Obamacare

The old saying goes, "Nothing is certain except death and taxes." But the Affordable Care Act has added a new wrinkle.

For many policyholders, the ACA has introduced a good deal of uncertainty about their tax bills. That has led to surprise refunds for some and higher-than-expected tax payments for others.

Johnny Reynolds knew that something was wrong as far back as 2003. That's when he first started experiencing extreme fatigue.

"It was like waking up every morning and just putting a person over my shoulders and walking around with them all day long," says Reynolds, 54, who lived in Ohio at the time.

In addition, Reynolds was constantly thirsty and drank so much water that he would urinate 20 or 30 times per day. "And overnight I would probably get up at least eight or nine times a night," he says.

The Supreme Court heard arguments Wednesday in a case that could end Obamacare subsidies for policyholders in a majority of states, including Texas, Florida, Illinois, Pennsylvania and Ohio. If the court sides with the plaintiffs, it would mean millions of people could no longer afford health insurance.

For the first time, Baton Rouge General Medical Center is hosting insurance navigators, trained to offer assistance to anyone who wants to buy health care coverage through the federal marketplace, which is now in its second year.


For two decades Atlanta restaurant owner Jim Dunn offered a group health plan to his managers and helped pay for it. That ended Dec. 1, after the Affordable Care Act made him an offer he couldn't refuse.

Subsidies under the health law for workers to buy their own coverage combined with years of rising costs in the company plan made dropping the plan an obvious — though not easy — choice.

A Shots post earlier this week by NPR's John Ydstie detailed the "family glitch" in the Affordable Care Act. That's where people who can't afford their insurance at work aren't eligible for help in the new insurance exchanges. Many of these Americans, most of whom make middling incomes, will remain uninsured.

That story got us wondering: Who else is getting left out by health law? And who is getting coverage?

Don Benfield of Taylorsville, N.C., makes $11 an hour working for a mobile-home parts business, selling things like replacement doors and windows.

Benfield, 51, doesn't have health insurance.

"I haven't had health care insurance in years, simply because I haven't been able to afford it, especially with food prices, how they went up," he explains.

Benfield's employer does offer health insurance coverage, even though, with fewer than 50 employees, the business is not required to.

Healthcare.gov

It’s that time of year — the open enrollment period for health plans.

In the second year of insurance exchanges established by the Affordable Care Act, premiums in Louisiana, as elsewhere, will be higher on average.

“And there are some understandable reasons for that," said Insurance Commissioner Jim Donelon. The No. 1 reason is that insurers can no longer turn away people with pre-existing conditions. "They have to take all comers."


With a battle cry of “Repeal Obamacare”, Republicans took control of the U.S. Senate earlier this month. Wrangling in Washington over when—or if—to actually act on that campaign promise is part of the backdrop to Louisiana’s Senate runoff.


HealthCare.gov barely worked when it launched last fall, with only six people able to enroll in a plan on opening day.

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