U.S. Representative Kathy Castor says that a letter that Governor Rick Scott recently sent to House of Representatives Majority Leader Kevin McCarthy regarding the Affordable Care Act contains “misleading and inaccurate information.”
The two Florida politicians have always been on opposing sides regarding President Obama’s signature domestic achievement. As a former health care executive, Scott was criticizing what is often called “ObamaCare” before he ever ran for governor, while Castor has been a champion of the law since it was signed into law in 2010.
“For far too long, it has been fashionable in Washington to say Obamacare can only be tweaked,” Scott wrote to McCarthy. “The impact of Obamacare has been devastating in Florida and our nation. Obamacare was sold on a lie from the very start. Costs are skyrocketing, people have not been able to keep their doctors and many people have fewer doctors to choose from. The increases in health care costs are at a 32-year high and are expected to continue increasing in the coming months. Recent news of Obamacare rates rising 25 percent is absurd and families simply cannot afford it. We can do better and the families and businesses footing the bill deserve better.”
Scott also called for giving Florida the “flexibility to run our own Medicaid program that uses the states managed care model,” and that be given the ability to enact reforms such as charging Medicaid beneficiaries a fee for using the emergency room in “non-emergency room situations.” And he advocated for realigning the methodology for calculating Medicare Part B premium cost of living adjustments. The current methodology, he says, is resulting in a disproportionate on state Medicaid programs, including Florida, where he says it has an estimated $82 million inpact over the past two years.
On Tuesday, Castor rebutted Scott, writing her own letter to McCarthy.
In the letter, she says that Scott neglected to mention that 1.7 million Floridians now have health care coverage due to the ACA. She also says that the ACA’s consumer protections (such as banning insurance companies from discriminating against those with pre-existing conditions, removing lifetime caps on coverage and allowing people under 26 to stay on their parents plans) have benefited the nearly 9 million Floridians who have employer backed insurance.
Castor writes that Scott has also overlooked the fact that the rate of growth of private insurance plans “has been held in check” in recent years.
“Governor Scott failed to mention significant cost savings to Floridians in his letter,” writes Castor. “Florida families with employer coverage saw their premiums grow by only 1.3 percent per year from 2010 to 2015, compared with 8.2 percent over the previous decade. If premiums grow in line with the national average in 2016, U.S. Department of Health and Human Services (HHS) estimates that premiums in Florida will be $7,600 lower today than if grown matched the increase pre-ACA.”
Castor also says that plans to offer Medicaid block grants to the states “is a ruse to institute draconian cuts.”
The governor was in Tampa on Tuesday making an announcement about his proposals for higher education. When asked about his letter to McCarthy, he said, “I know it’s really important that everybody has access to high quality health care, but if you can’t afford it it doesn’t matter how good the quality is. That’s not something that we want for our society. What’s important to me is that we have a national plan that works, that controls costs….you have to focus on costs, you have to focus on quality, you have to focus on service, and the ACA didn’t do those things.”