A recent study from the National Association of Manufacturers (NAM) claims that smog regulations proposed by the Environmental Protection Agency (EPA) will cost the economy $270 billion. But the regulations, necessary to alleviate the unsafe smog pollution currently experienced by 140 million Americans, will likely achieve net benefits by reducing costs associated with medical expenses and premature deaths, while experts have said the NAM study uses "fraudulent" claims and is "not based in economic reality."
Local journalists covering Nevada rancher Cliven Bundy's case stress he is no victim and is breaking the law, regardless of conservative media's sympathy for his defiance of government orders to remove cattle from federal land.
Those reporters and editors -- some who have been covering the case for 20 years -- spoke with Media Matters and said many of Bundy's neighbors object to his failure to pay fees to have his cattle graze on the land near Mesquite, NV., when they pay similar fees themselves.
"We have interviewed neighbors and people in and around Mesquite and they have said that he is breaking the law," said Chuck Meyer, news director at CBS' KXNT Radio in Las Vegas. "When it comes to the matter of the law, Mr. Bundy is clearly wrong."
Bundy's case dates back to 1993, when he stopped paying the fees required of local ranchers who use the federally owned land for their cattle and other animals. Local editors say more than 85 percent of Nevada land is owned by the federal government.
Bundy stopped paying fees on some 100,000 acres of land in 1993 and has defied numerous court orders, claiming the land should be controlled by Nevada and that the federal government has no authority over it.
Last year a federal court ordered Bundy to remove his cattle or they would be confiscated to pay the more than $1 million in fees and fines he's accumulated. The confiscation began earlier this month, but was halted because the Bureau of Land Management (BLM) had "serious concerns about the safety of employees and members of the public" when armed militia showed up to block the takeover.
But for local journalists, many who have been reporting on him for decades, that image is very misguided.
"He clearly has captured national attention, among mostly conservative media who have portrayed him as a kind of a property rights, First Amendment, Second Amendment, range war kind of issue," Meyer noted. "That's how it has been framed, but the story goes back a lot longer and is pretty cut and dry as far as legal implications have been concerned."
He added that, "Cliven Bundy and his supporters are engaged in a fight that has already been settled. There are a number of people around these parts who have strong reservations about Bundy's actions."
Las Vegas Sun Editorial Page Editor Matt Hufman said depicting Bundy as a victim is wrong.
"The BLM had court orders against him in the 90s telling him to get off federal land," Hufman said. "He's got a bunch of these arguments about state's rights, it's not federal land, blah, blah, blah. All of the arguments have been knocked down."
The Las Vegas Review-Journal used the story of a Nevadan who had trouble with his state's exchange to bash "the intentionally flawed design" of the entire Affordable Care Act (ACA) exchange system while incorrectly claiming that people are forced to use the state exchanges to access coverage.
A March 19 editorial relayed the story of Larry Basich, an enrollee in the Nevada health insurance exchange who has paid his premiums but has not been provided coverage due to administrative errors by the exchange's contractor, Xerox. The Review-Journal editorial used Mr. Basich's story to call the exchanges "intentionally flawed" and claim Mr. Basich's problems could be solved if he was allowed to shop outside the exchange through a private insurer (emphasis added):
Mr. Basich's problems go to the failure of Obamacare nationwide and the intentionally flawed design of the exchanges. The government wanted to create a system that allowed some people buy insurance without seeing the actual price. That requires connectivity with federal databases to determine subsidy eligibility. Buying insurance and collecting subsidies are two entirely separate issues, and should have been treated that way. Would Mr. Basich be in this predicament if he'd simply been allowed to buy insurance through an insurer instead of the exchange?
The editorial continued on to link Mr. Basich's problems "to the failure of Obamacare nationwide" leading it to explain that the only real solution is the repeal and replacement of the ACA.
However, the Review-Journal is incorrect in its assertion that Mr. Basich was not allowed to buy insurance privately outside of the exchange. The option to purchase insurance outside of the exchange has always been available and unrestricted. In fact, due to the flawed roll out of the exchanges, the Obama administration has retro-actively extended the tax credits previously available on the exchanges to customers who were frustrated with enrollment and purchased insurance privately.
Numerous local newspapers failed to identify the fossil fuel funding behind Thomas Pyle, president of the American Energy Alliance, while allowing him to publish op-eds across the country misleadingly attacking a potential tax credit for wind power, while ignoring subsidies for the oil and gas industries.
The Las Vegas Review-Journal published a misleading editorial on the Affordable Care Act (ACA), including tired falsehoods about enrollment numbers and new misinformation that negatively framed Congressional Budget Office (CBO) numbers that actually show Americans will have more job choice thanks to the ACA.
In a February 5 editorial the Review-Journal revived the claim that the ACA will not meet enrollment goals and offered a CBO report showing Americans will work less as they rely less on their jobs for insurance as proof the ACA is failing:
If the governor is legitimately shocked at this development, he shouldn't be. Healthcare.gov, the national exchange, has been a disaster since its Oct. 1 launch, and it is well off the enrollment pace required to sign up 7 million Americans by April 1. Even if the national exchange reached its goal, Obamacare won't be viable because younger, healthier people aren't signing up in sufficient numbers to subsidize the costs of older, sicker enrollees. At least 40 percent of enrollees must be younger and healthier for the law to pencil out.
The House is still trying to roll back this nightmare, proposing bills that address the law's most significant flaws, such as its various incentives for part-time work. On Tuesday, a Congressional Budget Office report projected the ACA would reduce the number of full-time workers in the United States by 2 million people by 2017 and 2.3 million by 2021 -- nearly three times the CBO's previous projected labor force impact of 800,000. Obamacare subsidies are partly to blame, the CBO reported, because they are "encouraging part-year workers to delay returning to work in order to retain their insurance subsidies." That's another way of saying Americans can't afford mandate-heavy, ACA-compliant policies that President Barack Obama promised would be cheaper.
The Review-Journal's assertion that ACA's success rests on enrolling 7 million by April 1 misrepresents what that number actually means. The CBO estimated 7 million people could sign up through the 2014 enrollment period, but that number is not critical to success of the law. The ACA has seen success in increasing sign-up rates as fixes to the system progress and enrollment deadlines draw closer. Furthermore, according to research by the Kaiser Family Foundation, young enrollees are participating enough to support the law. Even in Kaiser's worst-case scenario -- young enrollment freezing at the already-surpassed 25% of enrollees -- the ACA would be stable and provide a profit to insurers.
The Las Vegas Review-Journal misleadingly attacked a proposal to increase the minimum wage by incorrectly claiming that doing so would hurt job growth and do little to reduce poverty.
In a January 12 editorial, the paper attacked a recent push to raise the federal minimum wage from $7.25 per hour to $10.10, arguing that Democratic proposals were little more than distractions "from the party's Obamacare debacle." The paper misleadingly claimed that raising the minimum wage would increase unemployment, especially for workers under the age of 25, before concluding that, given other so-called "broken promises" from President Obama, the public should be skeptical of claims that higher wages would reduce poverty.
But comprehensive studies of the employment effects of the minimum wage don't back up the assertions laid out by the Review-Journal, which has used this tired line of attack -- or allowed anti-minimum wage increase lobbyists to do so -- in its opinion pages before. One analysis by economists Paul Wolfson of Dartmouth and Dale Belman of Michigan State looked at several studies published on the effects of the minimum wage since 2000. Wolfson and Belman found that, while some studies showed slightly positive employment effects and others slightly negative employment effects, across all studies there was no statistically significant negative impact on employment. A similar report from the Center for Economic and Policy Research on the employment effect of the minimum wage also concluded that, "employment responses generally cluster near zero, and are more likely to be positive than negative."
It's no secret income inequality is on the rise nationwide. Research from economist Emmanueal Saez of the University of California, Berkeley shows inequality at its highest level since 1928. In Nevada, according to a Center on Budget and Policy Priorities release, income for the poorest 20 percent of residents remained stagnant from the late 1990s to the mid-2000s. That stagnation led to the richest 5 percent of households having average incomes 13.0 times larger than the bottom 20 percent of households. A report by the University of Nevada, Las Vegas Center for Democratic Culture found that 16.8 percent of Nevada's population lives in "poverty areas," with African-American, American Indians, and Latino populations all having more than 20 percent of their populations living in poverty.
The Las Vegas Review-Journal penned an editorial asserting that Walmart offers its employees better, more affordable insurance options than those available on the exchanges set up by the Affordable Care Act (ACA). However, the ACA was never intended to compete with employee based insurance, but rather is aimed at covering the millions of uninsured Americans who could not access coverage through an employer.
The January 9 editorial joined a chorus of conservative voices promoting a report published in the Washington Examiner which claimed that Walmart's employer based insurance offers better coverage than what is available on the ACA-established health care exchanges:
In tracking the train wreck of Obamacare, some anecdotes sound too far-fetched to be true. Take Richard Pollock's eye-opening article for the Washington Examiner on Tuesday. Mr. Pollock got health policy experts and independent insurance agents affiliated with the National Association of Health Underwriters to compare Wal-Mart's health insurance plans with those offered via Obamacare exchanges.
Wal-Mart, the retail titan constantly derided by unions and liberal activists as a bad corporate citizen that sends low-wage employees onto welfare rolls, won out by a mile. The company's benefits are far more comprehensive and far less expensive than Obamacare plans.
But the ACA was never meant to compete with affordable employee-based coverage, and it is difficult to compare one company's health care plan to the hundreds of options available to different consumers depending on their state, income level, and type of insurance they want.
According to an article in Public Health Reports, the ACA's main goal is to create universal coverage thereby allowing the approximately 42 million Americans without insurance to have some baseline insurance. The article explains (emphasis added):
Consisting of 10 separate legislative Titles, the Act has several major aims. The first--and central--aim is to achieve near-universal coverage and to do so through shared responsibility among government, individuals, and employers. A second aim is to improve the fairness, quality, and affordability of health insurance coverage. A third aim is to improve health-care value, quality, and efficiency while reducing wasteful spending and making the health-care system more accountable to a diverse patient population. A fourth aim is to strengthen primary health-care access while bringing about longer-term changes in the availability of primary and preventive health care. A fifth and final aim is to make strategic investments in the public's health, through both an expansion of clinical preventive care and community investments.
Beyond the central goal of extending coverage to the uninsured, the ACA also established a set of essential benefits that all insurance plans, even Walmart's, need to have in order to improve coverage for all patients. Many of those previously uninsured before the ACA's passage were unable to find insurance due to pre-existing conditions that made them risky to cover. Thanks to the ACA, those people living with chronic conditions cannot be denied affordable insurance coverage.
For example, the Associated Press reported that a Michigan woman hasn't been able to find affordable insurance since 2007 because of a pre-existing condition but with the ACA "will now pay about $175 a month." In addition, the law also ensures that men and women are treated equally in the insurance market by banning higher premiums on women solely because of their gender.
The Las Vegas Review-Journal erroneously claimed that Sen. Harry Reid (D-NV) is providing special treatment to part of his staff by not requiring them to purchase insurance on the Affordable Care Act (ACA) exchange, despite the fact that the law does not require leadership staff members to participate in the exchange.
A December 7 Review-Journal editorial attacked Sen. Reid for not forcing his leadership staff off of their employer-based coverage and onto the health insurance exchanges before misleadingly claiming that the GOP had "no culpability" in obstructing improvements for the ACA:
The Affordable Care Act requires the official staffs of each federal lawmaker to abandon their medical coverage through the Federal Employee Health Benefit program and purchase subsidized insurance through the law's exchanges. But, as reported Thursday by the Review-Journal's Steve Tetreault, the law allows the staff of congressional committees and leadership offices to stay off the exchanges and keep their current benefits, if their lawmaker bosses so decide.
Senate Minority Leader Mitch McConnell, R-Ky.; House Speaker John Boehner, R-Ohio; and House Minority Leader Nancy Pelosi, D-Calif., nonetheless diverted their entire staffs to the exchanges to obtain health insurance. Sen. Reid did not.
Kristen Orthman, a spokeswoman for Sen. Reid, said her boss is following the law and has proposed a fix to the staff coverage discrepancy, but Republicans won't go along. Imagine that: The GOP, which has no culpability in this mess, actually wants something in return for votes that are politically beneficial to Democrats whose poll numbers are tanking.
The attack on Sen. Reid is an attempt to score political points in an on going partisan battle over the ACA. The Review-Journal and conservative opponents are criticizing Reid for following the Grassley Amendment, an amendment to the ACA proposed by Sen. Chuck Grassley (R-IA) that forced members and legislative staff onto the exchanges instead of allowing them to keep their own employer-based insurance as millions of Americans have under the ACA. This tweak to the ACA law made the decision to place leadership committee staff on the exchanges optional.
The Las Vegas Review-Journal claimed the Affordable Care Act (ACA) is hurting employment by forcing businesses to shift workers to part-time to avoid offering health insurance. However, substantial evidence proves that the ACA is not having any widespread impact on employment patterns.
In a November 25 article, the Review-Journal claimed the large service industry of Nevada would be hit hard by the health care law's mandate to count employees working more than 30 hours a week as full time -- the threshold for which employers must begin offering health insurance benefits to employees -- because it will give employers an incentive to cut worker hours to avoid offering health insurance:
So local businesses and unions alike want to know: What's another tweak or two?
They've set their sights on proposed federal laws that would change an Obamacare provision on who gets health insurance through work. The rule says employees who work more than 30 hours a week qualify as full-time, and employers have to offer them insurance or risk fines of $2,000 to $3,000 per worker. The rule applies to any company with more than 50 full-time-equivalent workers.
The threshold is causing unintended consequences as employers cut hours to drop workers below the 30-hour threshold.
That could be a huge issue in Las Vegas, with its high share of hourly service jobs in hospitality and restaurants, said Shaun O'Brien, assistant policy director for health and retirement for big labor group AFL-CIO. And with average weekly hours worked coming in at 33.7 in August, according to local research firm Applied Analysis, plenty of locals hover close enough to the threshold to cross it.
The article quoted Randi Thompson, the Nevada state director of the National Federation of Independent Business (NFIB), to bolster the claim that the ACA will force employers to cut hours. However, as the Georgetown Center on Health Insurance Reforms (CHIR) reported, Thompson's own organization conducted a survey that concluded the opposite. According to the survey by NFIB, only 13 percent of small businesses surveyed would cut employees or employee hours as a result of the law. Furthermore, the survey found that these decisions to "reduce employee hours seem strongly tied to profitability rather than ACA."
In support reduction in hours argument, the article referenced a survey sponsored by the Chamber of Commerce that found that franchised businesses have "already cut hours more than a year before the employer mandate." However this survey was conducted by Pulse Opinion Strategies, a known Republican polling firm and, according to an NFIB researcher, still doesn't prove the ACA is creating a part-time workforce:
The numbers contrast with a survey released two weeks ago by the National Federation of Independent Business finding that only 13 percent of 921 small companies plan to cut hours. The NFIB, like the [International Franchise Association] and the Chamber [of Commerce], thinks people working less than 40 hours shouldn't count as "full-time." But the group admitted that its numbers don't show Obamacare creating a part-time workforce. Many of those planning to cut hours were too small to be subject to the mandate, anyway. "If they cut or were cutting, it's almost assuredly due to the profitability rather than the ACA for those people," NFIB researcher William Dennis said.
These findings have been backed up by economists as well. In his analysis of the ACA's effect on weekly hours, economist Dean Baker explains that while some employers may reduce hours to avoid providing coverage to employees, "the number is too small to show up in the data." Furthermore, few work near the 30-hour full-time cutoff:
An analysis of data from the Current Population Survey shows that only a small number (0.6 percent of the workforce) of workers report working just below the 30 hour cutoff in the range of 26-29 hours per week. Furthermore, the number of workers who fall in this category was actually lower in 2013 than in 2012, the year before the sanctions would have applied. This suggests that employers do not appear to be changing hours in large numbers in response to the sanctions in the ACA.
The Center on Budget and Policy Priorities further explains that the number of involuntary part-time workers has decreased since the implementation of the ACA, instead of expanding as the perpetrators of the myth would lead one to believe:
A more rigorous test examines the recent trend in the share of involuntary part-timers -- workers who'd rather have full-time jobs but can't find them. If health reform's employer mandate were distorting hiring practices in the way critics claim, we'd expect the share of involuntary part-timers to be growing. Instead, as shown in Figure 1, it is down about one percentage point from its peak.
Nor do the employment data provide any evidence that employers have cut workers' hours below 30 hours a week to avoid the requirement to provide health insurance. During the first half of this year, the share of workers putting in 30 or more hours a week actually rose to 80.7 percent from 80.2 percent in the comparable part of 2012. Although the increase is small, it refutes the claim that shortening of the workweek is widespread.
Multiple media outlets have targeted young Americans in an attempt to spread misinformation and myths about the Affordable Care Act (ACA), claiming that coverage is too expensive, the ACA provides too much coverage to young adults, and that Millennials are better off not signing up for coverage, despite vast evidence showing that young people both need and want coverage under the ACA.
A Las Vegas Review-Journal editorial left out key details of the insurance market prior to the passage of the Affordable Care Act (ACA) and the affordability of current ACA plans to attack the law and claim it should be repealed.
The November 20 editorial discussed insurance companies terminating certain Americans' current health plans while claiming that those seeking insurance will have to pay higher costs under the new ACA-compliant plans:
So the insured were part of the problem all along. The people who were responsible enough to purchase coverage that fit their needs and their budgets, without being threatened with a penalty tax, were too dumb to understand they were actually buying "predatory" garbage. The people who gave themselves an economic incentive to take care of their health, who willingly paid cash for routine medical care, needed to be forced to pay even more for coverage they didn't want or need.
Obamacare strikes out on premium affordability, too. According to the Manhattan Institute, Obamacare is projected to increase individual-market premiums by 179 percent in Nevada, the biggest jump in the nation. Sticker shock, not technical failure, is the major reason why so few people are buying insurance from Obamacare exchanges. The Twitter account @MyCancellation documents the cancellation notices Americans are receiving, as well as their outrageous new premium quotes. One tweet this week read "From Alabama: Old plan canceled was $180/mo w/ $6,700 ded. New plan under #ACA $400/mo &ded nearly doubles $12,000."
Americans were lied to. No amount of revisionist history can save this law or make its awful consequences acceptable. Are you paying attention, Sen. Reid? Repeal and replace.
The issue isn't so much with the insured as the companies providing insurance. As the Center on Health Insurance Reforms at the Georgetown University Health Policy Institute explained, "Pre-ACA, consumers faced a 'wild west' when buying health insurance." Providers were allowed to indiscriminately change plans and raise premiums without any safeguards. As Consumer Reports explained, the pre-ACA individual insurance market was "a nightmare" with many uninsured being unable to afford an individual plan, or if they did have insurance, most disliking their coverage. The article further noted:
Because of the new health care law people like these, who did nothing wrong except to have the bad luck to be stranded in the individual market, can now get health coverage at a price they can afford. Insurers can't turn them down or exclude coverage of the treatments they need the most. They can't slice and dice risk pools to drive longtime policyholders away. They can't charge them more because of pre-existing conditions.
In addition, insurance companies misled their clients by introducing non-ACA compliant plans without informing them that the plans they had would only be available for a short period of time, or in the case of Humana, sent threatening cancellation letters or letters that omitted crucial information about the ACA. As a Talking Points Memo investigation found, insurance companies around the country "have sent misleading letters to consumers, trying to lock them into the companies' own, sometimes more expensive health insurance plans rather than let them shop for insurance and tax credits on the Obamacare marketplaces," which could save consumers thousands per month.
The Las Vegas Review-Journal promoted several myths about the Affordable Care Act (ACA) including that men will have excessive coverage, that young people will not sign up for insurance on the exchanges, and that heavy Medicaid enrollment will jeopardize the exchanges.
The Las Vegas Review-Journal penned an editorial attacking the Affordable Care Act (ACA) over high premium prices, but failed to provide more than a pair of anecdotes that misrepresented Nevada's uninsured population to support its claims.
The October 8 editorial promoted the idea that people will turn against the ACA as they learn the price of coverage under the exchanges, and according to the Review-Journal, the only thing preventing that scenario are technical glitches that have slowed the process:
It wasn't part of the Obama administration's shutdown theatrics, but healthcare.gov had to close for the weekend, and it was closed again early Tuesday. The website was taken offline because of myriad glitches that have plagued the national health insurance exchange (and state exchanges across the country) since the Oct. 1 rollout.
The technical problems are significant because huge numbers of people are being prevented from learning how much their newly mandatory health insurance will cost. Once potential enrollees can review exchange plans, their premiums and deductibles, there will be yet another uproar -- one with the potential to force changes to Obamacare or at least delay enforcement of its individual mandate.
The Review-Journal went on to give two examples of Californians over the age of 50 who claim to have been quoted at higher premium prices than they had paid in the past. Because the editorial did not include any information about the pair's previous insurance situation, tobacco use, or any other indicators, however, it is hard to verify or explain why these individuals were quoted at higher premiums. But this lack of information did not stop the Review-Journal from extrapolating their experience onto a wider population and predicting a delay to individuals' requirement to have insurance, an action that would gut the law and cripple insurers' ability to cover those with pre-existing conditions.
The editorial also highlighted the rates these individuals will pay without mentioning that older populations can only be charged up to three times what young and healthy adults can be charged. According to the Congressional Research Service, 49 percent of Nevada's uninsured are between the ages of 19 to 21, as compared to 26.4 percent for ages 21 to 64, and 1.9 percent for ages 65 and over. Using two older buyers as a sample of Nevada's insurance-buying population gives a misleading picture of prices and experiences.
Furthermore, the piece made no mention of the federal tax credits that will help make coverage affordable for many young Americans. Nationally, tax credits will allow 6.4 million people to purchase insurance for less than $100 each month. Including the subsidized prices for plans bought on the exchanges is critical to understanding the actual cost of insurance because the law "provides sliding-scale subsides to help people with incomes up to four times the federal poverty level." As the Kaiser Family Foundation explained in a primer on the makeup of the uninsured:
Most people without health coverage are in working families and have low incomes. Adults make up a disproportionate share of the uninsured population because they are less likely than children to be eligible for Medicaid. While a plurality of uninsured people are White non-Hispanic, racial/ethnic minorities are at especially high risk of being uninsured.
Health insurance makes a difference in whether and when people get necessary medical care, where they get their care, and ultimately, how healthy people are. The consequences of reduced access to care over time can be serious, including preventable hospitalizations, poor overall health, disability, and premature death.
Local conservative blogs and opinion sections seized on reports of initial technical glitches with the online health care exchanges to broadly slam the Affordable Care Act (ACA), and failed to recognize similar challenges with implementing Medicare Part D.
The online health care exchanges opened on October 1 to assist people in selecting an insurance provider in compliance with the ACA. Since the launch, several local opinion outlets have framed the story to maximize frustrations over technical glitches and paint the federal government as incompetent in preparing for enrollment. These same outlets have been repeatedly critical of the ACA.
For example, the Las Vegas Review-Journal ran an editorial that called the exchange launch "an information-technology disaster." Other outlets have been openly rooting for the exchanges to fail, such as North Carolina's Civitas Institute which called for readers to submit "Obamacare horror stor[ies]." Watchdog.org published a reporter's first-hand "maddening" experience with trying to log onto the New Mexico Health Insurance Exchange.
The user complaints are not completely unwarranted, as very real technical issues attributed to heavy traffic on the sites and software problems have been reported. High demand to access the health care exchanges drove 8.6 million unique victors to HealthCare.gov in the first 72 hours after the exchanges went live.
However, much of the negative local coverage of the rollout fails to take the exchanges in perspective. Few reports question whether it is reasonable to expect such a large and complex undertaking to run smoothly right out of the gate. The 2005 enrollment of millions of seniors in Medicare Part D - the government program to subsidize the cost of prescription drugs for Medicare patients - is the closest way to put the ACA exchanges in perspective.
Las Vegas Review-Journal columnist Sherman Frederick hyped two debunked myths about the Affordable Care Act (ACA), including the false claim that the Cleveland Clinic is cutting costs as a direct result of the ACA and that "skinny networks" will limit access to quality care.
In his September 28 column, Frederick claimed the truth about the ACA was revealed when Eileen Sheil, corporate communications director for the Cleveland Clinic Foundation, said that the clinic would be cutting its budget and making other employment decisions due to the law. The column continued:
Ms. Sheil announced that in order to prepare for Obamacare, the Cleveland Clinic, one of the world's best health care providers, would slash up to 6 percent of its 2014 budget, put some 3,000 employees into early retirement, hold positions vacant longer and, if necessary, lay off employees.
Let that sink in. Just like that, the world-renowned Cleveland Clinic brought to bended knee by Obamacare. If this law can do that to one of our best medical institutions, what's going to happen to the quality of our local hospitals? How will isolated, rural facilities cope?
The problem with Frederick's assertion is that it's not true. The Atlantic reached out to Sheil who "seemed a bit confused by the emphasis on Obamacare in reports" and explained that the clinic had been "working on reducing costs for years" in order to remain viable, and the ACA was just the catalyst to implement those decisions. Fox News' Greta Van Susteren also debunked this myth when she backpedaled on initial Fox reports after speaking with Toby Cosgrove, CEO of the clinic.