Health Care

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  • CNN is paying Stephen Moore to lie to its viewers about health care

    If you're going to give Moore air time, at least fact-check him

    Blog ››› ››› CRAIG HARRINGTON


    Sarah Wasko / Media Matters

    Discredited economic pundit and former Trump campaign adviser Stephen Moore continues embarrassing CNN during news segments with his supposed policy expertise. Media Matters compared two of Moore’s recent appearances -- one in which he appeared alongside a credentialed policy expert, and one in which he faced only an ill-prepared network host -- and found distinct differences in the tone of each discussion. These differences demonstrate the dangers of news outlets continuing to rely on unscrupulous hangers-on from the Trump administration to comment on policy issues.

    Over the years, Media Matters has chronicled Moore’s shoddy predictions, intentional misinformation, and misleading claims. Despite ample evidence of Moore’s gross incompetence as an economic analyst, CNN still hired him in January under the guise of “senior economics analyst” to serve as a sort of in-house surrogate for the Trump administration. Moore has spent his time at CNN undermining his colleagues and embarrassing his network while ceaselessly parroting the Republican Party’s agenda. His shameless defense of the president’s unfounded reasoning for withdrawing from the Paris climate accord even led Columbia University economist Jeffrey Sachs to blast CNN on its own program for maintaining a relationship with the pundit.

    Moore’s two appearances late last week underscore how problematic he is as an employee of a news network and reveal how CNN ought to handle his future appearances.

    During the July 13 edition of CNN’s Anderson Cooper 360, Moore was interviewed alongside University of Chicago economist Austan Goolsbee about the Republican-led Senate’s floundering proposal to repeal and replace the Affordable Care Act (ACA). Moore opened the segment by endorsing an amendment authored by Sen. Ted Cruz (R-TX), which experts believe would restrict coverage options and increase costs for Americans living with pre-existing conditions. He misleadingly blamed the ACA for increasing health care costs -- prices are actually "rising at historically low levels" since the law went into effect -- and encouraged the use of so-called “catastrophic” insurance policies, which provide limited packages to young individuals at low cost and are considered inadequate by health care experts. Luckily for CNN viewers, Goolsbee -- a former chairperson of the Council of Economic Advisers and college debate champion -- was there to provide pushback to these false and misleading claims:

    Compare Goolsbee’s repeated fact-check of Moore’s misstatements to another Moore appearance in which CNN did not host an economic policy expert to counter the conservative pundit.

    On the July 14 edition of CNN’s Wolf, Moore sat for an interview with guest host Jim Sciutto, the network’s chief national security correspondent, to discuss the same topics and was allowed to promote his right-wing agenda virtually unchallenged. Moore falsely claimed that catastrophic health insurance plans could save middle-class families thousands of dollars and got away with an unsubstantiated guess that politically, the GOP bill’s reduction of insurance premiums outweighs the fact that it would strip coverage from 22 million people. When Sciutto questioned him about the fact that repealing ACA would harm millions of Americans who receive Medicaid, Moore promoted the right-wing lie that “Medicaid is one of the worst insurance systems” and low-income Americans would be better off without it. Sciutto did not challenge Moore when he falsely claimed that the ACA repeal process in 2017 is “déjà vu all over again” compared to how the law was passed in 2010 when, according to Moore, then-President Barack Obama “had to buy those last couple of votes in Senate to get there.” In reality, the ACA passed 60-39 with the support of every Democrat in the chamber, whereas the current Senate bill has yet to get 50 supporters among 52 Republican senators:

    Moore’s partisan talking points can be easily unraveled by competent analysts and experts; his attempt to promote the same right-wing fallacies about health care was rebutted by health care expert Andy Slavitt during the July 10 edition of New Day. In fact, his dissembling can be easily countered if the interviewer is adequately prepared. But since Moore is a professional misinformer who has spent years honing his craft, if an interviewer is ill-prepared, the segment can quickly devolve into Moore amplifying his routine talking points, which serve only his conservative political agenda.

  • Chuck Todd silent as Sen. John Cornyn repeatedly lies about Republican bill gutting health care

    Cornyn misleads about GOP bill’s effects, Republicans’ record on sabotaging the health insurance market, and Democrats’ willingness to offer improvements

    Blog ››› ››› ZACHARY PLEAT

    On NBC’s Meet the Press, Chuck Todd failed to correct or contextualize Sen. John Cornyn’s (R-TX) multiple misleading statements about the GOP Senate’s bill, which would cost millions of Americans their health insurance.

    On July 13, Senate Republicans released a revised version of their bill to dismantle the Affordable Care Act after the original version, which would have kicked 22 million Americans off of their health insurance, failed to secure enough votes. Senate Majority Leader Mitch McConnell delayed the vote for the revised version, planned for this week, after Sen. John McCain recently underwent surgery, and two GOP senators have so far said they will not vote for the revised bill, leaving its future uncertain.

    On July 16, Cornyn appeared on Meet the Press to make the case for the GOP bill and made statements misrepresenting the bill, the current insurance market under the Affordable Care Act, and Democrats’ alternatives to improve the insurance market -- and Todd let him.

    When asked by Todd near the beginning of the interview what it says about the bill that the vote is so close that they need McCain’s vote to move forward, Cornyn decried that the bill has “become a partisan issue,” stating, “our Democratic friends are refusing to lift a finger to help their burdened constituents who are being hurt.” But Cornyn’s protestation rings hollow given the unprecedented secret process Senate Republicans used to draft the bill, which barred any Democratic input. And the process was designed from the start to pass with only Republican votes through the budget reconciliation process, without help from Democrats.

    Later, Cornyn claimed Republicans are “offering a better alternative” to the current health insurance market, bemoaning that “we know millions of people are seeing sky-high premiums, [and] unaffordable deductibles, and fleeing insurance markets.” Yet the CBO predicted that if the BCRA passes, premiums would rise until 2020, and only decline after that because the insurance plans would cover fewer services, and thus would be worth less. And the bill would cause deductibles to climb even higher -- in some cases, up to 24 times higher.

    At the end of the interview, Cornyn claimed Republicans are “willing to do what we can to shore up the system now, to stabilize it to make health care available to people now” and asserted that Democrats don’t want to make any changes. Cornyn’s first claim here is just ludicrous on its face; Republicans have spent years sabotaging the the Affordable Care Act, from ending risk corridor payments to insurance companies, to obstructing efforts by both states and the federal government to create the health insurance exchange marketplaces, and of course to some Republican-controlled states declining to participate in the Medicaid expansion and leaving many of their constituents uninsured. Insurers have even admitted that they are raising premiums and pulling out of exchanges because of the uncertainty in the market created by Republicans.

    Democratic senators offered back in March to work with Republicans to fix problems with the insurance market if they agreed to drop their efforts to repeal the Affordable Care Act. And days ago, some House Democrats said they will introduce some fixes to the individual insurance market, which includes a reinsurance program to offset the costs of the sickest patients, removing uncertainty from the Trump administration's threats to end some cost-sharing subsidies, moving the open enrollment season, and offering a Medicare buy-in for some older Americans.

    Todd allowed Cornyn to make these statements without any pushback. Republicans have been repeatedly called out for their lies and deceptions regarding their efforts to repeal the Affordable Care Act -- both by media outlets and even other Republicans. With the insurance coverage of millions at stake, interviewers like Chuck Todd must be better prepared to confront Republican lawmakers when they make their case with lies and misrepresentations.

  • Cable and broadcast news still obsess over process, ignore personal stories in health care coverage

    Blog ››› ››› JULIE ALDERMAN

    Immediately after Senate Republicans unveiled a new draft of their plan to repeal the Affordable Care Act (ACA), cable and broadcast newscasts framed reports about the bill around the challenges it faces in the legislative process, including vote counts and optics, rather than personal stories from those who would be most affected by the bill. However, the programs did use the opportunity to cover key changes to and consequences of the bill.

    Senate Republicans on July 13 introduced a new draft of their bill to repeal and replace the ACA, which includes key changes surrounding health savings accounts and ways for insurers to offer more bare-bones policies. While the bill has changed a bit, the media coverage has largely stayed the same. Once again, media are continuing to focus on the process surrounding the bill and largely ignoring personal stories from those most affected. Unlike with previous coverage, cable and broadcast news did focus on the new changes in the bill and their potential consequences for Americans. MSNBC in particular provided more context and information about the bill than other networks.

    Broadcast news

    During the July 13 newscasts, just hours after the new draft plan was introduced, broadcast news shows framed their coverage around the legislative process and optics of the bill. NBC’s Lester Holt introduced a report on the bill on NBC Nightly News by noting that “Republicans face a crucial battle for votes in their own party” over the bill. CBS’ Anthony Mason said the bill was “already in critical condition” on CBS Evening News because of the lack of Republican support. And ABC’s Mary Bruce framed her report on the new bill by pointing out that it faces “the same old problem: Can it get the votes to pass?”

    Like previous coverage, broadcast newscasts largely neglected to offer personal anecdotes from people who would be most affected by the bill. One exception was CBS Evening News, which followed its coverage of the bill with a segment on how Kentuckians would be “hard hit” by its Medicaid cuts.

    Network newscasts did do an exemplary job of highlighting the consequences of and new changes in this newest draft of the bill, however, including provisions that would allow “the return of skimpy junk insurance policies and discrimination against people with pre-existing conditions,” according to HuffPost, and expand the use of health savings accounts, which have been found to “primarily benefit the wealthy, the healthy, and the educated.”

    Cable news

    Like broadcast newscasts, the 6 p.m. hour of cable news coverage framed the unveiling of the bill largely around vote counting and optics. Fox News’ Bret Baier introduced a panel discussion of the bill on Special Report by explaining that the GOP “can only afford to lose one more vote” to pass the bill. Earlier in the program, Baier set up a report on the bill by highlighting “the continued internal dissent” surrounding the bill. MSNBC’s Ali Velshi framed his discussion of the bill on MSNBC Live by saying that it “is hanging by a thread” in terms of votes. CNN’s Jim Acosta opened a segment on the bill by stating that Republicans are “increasingly optimistic about its prospects.” Acosta even conducted an interview with Sen. Ben Cardin (D-MD) and asked only about the prospects the bill would pass, not the actual policies it contains.

    Like broadcast newscasts, cable coverage was also largely devoid of personal stories from those most affected. However, cable coverage did highlight several changes that are included in this draft of the bill and the consequences of the provisions. MSNBC, especially, excelled in this area, hosting Dr. Kavita Patel, medical director of Sibley Primary Care in Washington, D.C., who noted that this bill “does cause a death spiral … by allowing for insurance plans to sell … catastrophic insurance.”

    MSNBC also hosted Virginia Gov. Terry McAuliffe, a Democrat, who pointed out that the bill negatively impacts state budgets, like in Virginia.

  • News outlets fail to report on what the GOP health care rollback means for LGBTQ Americans

    Blog ››› ››› ALEX MORASH


    Sarah Wasko/ Media Matters

    Lesbian, gay, bisexual, transgender, and queer (LGBTQ) Americans will face greater hardship if Republicans in Congress succeed in reversing the Affordable Care Act’s (ACA) patient protections and expansion of Medicaid -- and this is especially true for people living with HIV -- yet, print and television news have almost completely ignored their stories.

    LGBTQ Americans deal with higher rates of poverty, greater need for Medicaid, and higher rates of HIV infection than the general population. Republican plans to decimate Medicaid and roll back patient protections will create disproportionate impacts for LGBTQ Americans. Yet, according to new research from Media Matters, major print and television news outlets have been virtually silent on how GOP health care proposals may harm members of the LGBTQ community.

    Media Matters reviewed major broadcast and cable news providers (ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC) available via Nexis from May 4 through July 13 and found only two significant segments discussing how the Republican health care rollback would affect LGBTQ people and only two other unrelated segments discussing how the rollback would affect Americans living with HIV. A Media Matters review during the same period of time of print newspapers available via Nexis and Factiva (Los Angeles Times, The New York Times, USA Today, The Washington Post, and The Wall Street Journal) found only three print articles that discussed how the GOP health care plan may affect the LGBTQ community and/or people living with HIV.

    A July 12 analysis from Media Matters found a similar lack of reporting by major television and print news outlets on how communities of color may be affected by Republican health care proposals. Additional Media Matters research has found that television news missed an opportunity to report on the unprecedented nature of the Senate’s health care secrecy and that television coverage had drowned out reports on how the legislation would impact tens of millions of Americans in favor of airing stories focused on the bill’s political machinations. Previous Media Matters research revealed that newspapers kept reports on health care off the front page during crucial periods of debate and that broadcast and cable news coverage neglected to consider diversity when booking guests to discuss health care-related topics.

    LGBTQ news outlets including The Advocate, NBC Out, and The Washington Blade have all covered how Republicans plans to roll back Medicaid would affect LGBTQ Americans as well as the more than 1 million people living with HIV. According to the Center for American Progress (CAP), Medicaid is of significant importance for many LGBTQ Americans who face higher rates of poverty than the general population, and these higher rates of poverty correlate with fewer LGBTQ Americans having health insurance. On July 6, CAP reported that the ACA repeal legislation being considered by the Republican-led Senate -- the so-called Better Care Reconciliation Act (BCRA) -- may result in up to 560,000 LGBTQ Americans losing Medicaid coverage while restricting health care access for transgender Americans. From the report:

    The BCRA slashes Medicaid by $772 billion over 10 years and would end Medicaid expansion over time:

    • Medicaid covers at least 1.8 million LGBTQ adults, including 31 percent of LGBTQ adults living with a disability and 40 percent of LGBTQ adults with incomes under 250 percent of the federal poverty level.
    • An estimated 560,000 LGBTQ adults will lose coverage if Medicaid expansion is ended.
    • The BCRA prohibits federal Medicaid reimbursements for Planned Parenthood for one year; Planned Parenthood is one of the country’s largest providers of transgender-inclusive health care.

    On February 14, the Kaiser Family Foundation reported that the ACA’s Medicaid expansion has lowered the uninsurance rates for people living with HIV from 22 percent to 15 percent from 2012 to 2014. The California HIV/AIDS Policy Research Centers found that in California alone, the Medicaid expansion covered an additional 11,500 people living with HIV. Coverage and care for those living with HIV is of significant concern for many in the LGBTQ community, as the Kaiser Foundation points out, because gay and bisexual men make up 56 percent of Americans living with HIV and 55 percent of all HIV-related deaths in the U.S. despite comprising just 2 percent of the American population.

    If congressional Republicans are successful enacting their health care agenda, it could cause real harm to the nearly 69 million Americans enrolled in Medicaid, making it crucially important that news outlets tell their stories.

    Methodology

    Media Matters conducted a Nexis and Factiva search of print editions of the Los Angeles Times, USA Today, The New York Times, The Washington Post, and The Wall Street Journal from May 4 through July 13, 2017. Media Matters also conducted a Nexis search of available transcripts of broadcast and cable news programs on ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC over the same time period.

    We identified and reviewed all broadcast and cable news segments and noneditorial articles that included any of the following keywords: gay or lesbian or transgender or bisexual or LGBT or LGBTQ or queer or same-sex within 10 words of health care or healthcare or health reform or AHCA or Trumpcare or American Health Care Act or ACA or Obamacare or Affordable Care Act or CBO or BHCA or Medicaid.

  • Reporters must ask Rubio whether he supports the GOP health care bill’s risk corridor provision

    Rubio previously sabotaged a similar measure in the ACA

    Blog ››› ››› JULIE ALDERMAN

    Local and national reporters should question Sen. Marco Rubio (R-FL) about the new draft of the Senate bill to repeal and replace the Affordable Care Act (ACA) and specifically about whether he supports a provision similar to the ACA’s “risk corridor” payments, which he previously led efforts to sabotage.

    The Washington Post reported that the draft of the Senate bill, which would allow insurers to offer “bare-bones policies” as long as they also provide “more-comprehensive ones,” unveiled on July 13 “would establish a $70 billion fund to subsidize insurers providing both kinds of plans ‘for the associated costs of covering high-risk individuals,’ according to a GOP summary of the bill.” The fund appears to be similar to the ACA’s temporary risk corridor program, which, according to the Kaiser Family Foundation, “was intended to promote accurate premiums in the early years of the exchanges (2014 through 2016) by discouraging insurers from setting premiums high in response to uncertainty about who will enroll and what they will cost. The program worked by cushioning insurers participating in exchanges and marketplaces from extreme gains and losses.” George Washington University professor of health law Sara Rosenbaum said of a previous version of the Senate bill (which had a similar funding provision) that "There's 'no difference' between the insurer funds in Obamacare and the ones in the Senate Republican bill," according to Bloomberg.

    In 2013, Rubio committed what The New York Times called “quiet legislative sabotage” by limiting how much federal funding could go to these risk corridors. Right-wing media also adopted Rubio’s attack on the funds, with pundits like then-Fox host Bill O’Reilly claiming the payments “subsidize private insurance companies if they don't make profit from Obamacare.” Los Angeles Times columnist Michael Hiltzik noted that Rubio’s sabotage forced some small insurers out of business and created “higher premiums for [Rubio’s] constituents and insurance customers as a whole.”

    Rubio told the Miami Herald that he will vote for a motion to proceed with debate over the bill on the Senate floor, but, according to The Washington Post, he has been “unclear” about whether he will vote for the bill to pass.

    Rubio's actions are part of a pattern of Republicans sabotaging the ACA. Reporters cannot settle for Rubio’s vague position on the bill, especially given the potential hypocrisy if he decides to support it. Journalists must question Rubio about his support for the bill, especially in regards to risk corridor funds.

  • Media coverage almost entirely whitewashed GOP health care rollback

    People of color have been ignored during the health care debate

    Blog ››› ››› ALEX MORASH


    Sarah Wasko / Media Matters

    The Republican Party’s plan to gut the Affordable Care Act (ACA) will disproportionately hurt people of color -- a fact television and print news outlets have almost completely ignored in their coverage of ongoing health care debates.

    On May 4, President Donald Trump held a White House celebration with a predominantly white group of Republican members of Congress after the House of Representatives voted to fund tax cuts for high-income earners by cutting health care subsidies and loosening patient protections benefitting low- and middle-income Americans. On May 8, The New York Times reported that 13 white Republican men would draft the Senate’s version of a health care reform bill, which remained shrouded in secrecy until it was released on June 22. Almost as if taking their que from the GOP, broadcast and cable news outlets made little effort over the same time period to invite diverse guests to discuss the health care bill despite dedicating significant coverage to the issue.

    In fact, according to new research from Media Matters, news outlets have almost completely ignored how GOP health care plans would disproportionately impact people of color. A Media Matters review of the major broadcast and cable news providers available via Nexis (ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC) found only three significant stories from May 4 through July 9 on the health care bill’s disproportionate impact on communities of color. All three stories appeared on MSNBC's weekend program Politics Nation. Media Matters conducted the same analysis of five major print newspapers via Nexis and Factiva (Los Angeles Times, The New York Times, USA Today, The Washington Post, and The Wall Street Journal) and found only four print articles -- three in the Times and one in the Post -- highlighting that the GOP plans to repeal and replace the ACA would harm these already disadvantaged communities.

    One of the few pieces discussing communities of color was an in-depth June 6 report (published in-print on June 11) in The New York Times on an overlooked HIV epidemic in African-American communities in southern states. Phill Wilson, president of the Black AIDS Institute, told the Times that ACA repeal would halt momentum for treating HIV and that he feared people would die if coverage was taken away. From the article:

    “The key to ending the AIDS epidemic requires people to have either therapeutic or preventive treatments, so repealing the A.C.A. means that any momentum we have is dead on arrival,” said Phill Wilson, chief executive and president of the Black AIDS Institute, a Los Angeles-based nonprofit. “For the most vulnerable, do we end up back in a time when people had only emergency care or no care and were literally dying on the streets? We don’t know yet, but we have to think about it.”

    The nonpartisan Congressional Budget Office (CBO) projected the Senate’s health care overhaul would result in 22 million fewer people with health insurance by 2026, including 15 million fewer low-income Americans being enrolled in the Medicaid program. Communities of color are disproportionately likely to receive Medicaid and restrictions could leave millions of people in disadvantaged communities at a loss. The Commonwealth Fund reported in August 2016 that communities of color benefitted greatly from the ACA’s provisions aimed at reducing health care inequality, and those communities could be hammered by GOP proposals to roll back successful reforms:

    According to HuffPost contributor Richard Eskow, a senior fellow with the progressive group Campaign for America’s Future, Republican plans to gut the ACA “will disproportionately harm people of color” while the 400 wealthiest families in the United States would receive an average tax cut of $7 million. It is because GOP plans so directly harm people of color that journalist Vann Newkirk wrote in The Atlantic that health care is a civil rights issue for millions of Americans. On the July 10 edition of MSNBC’s Politics Nation, Newkirk discussed the importance for expanding access to health care as a means of reducing economic and health disparities that have existed along racial lines for generations:

    Republican plans to repeal the ACA will exact an extraordinary toll on millions of Americans, and will have a disproportionate impact on people of color, women, and the LGBTQ community. That is why it is more important than ever for news outlets to contextualize this human cost.

    Methodology

    Media Matters conducted a Nexis and Factiva search of print editions of the Los Angeles Times, USA Today, The New York Times, The Washington Post, and The Wall Street Journal from May 4 through July 9, 2017. Media Matters also conducted a Nexis search of transcripts of broadcast and cable news programs on ABC, CBS, NBC, PBS, CNN, Fox News, and MSNBC over the same time period.

    We identified and reviewed all broadcast and cable news segments and non-editorial articles that included any of the following keywords: black or African-American or African American or hispanic or latina or latino or Asian or racism or racial or native american or people of color or indian or pacific islander within 10 words of health care or healthcare or health reform or AHCA or Trumpcare or American Health Care Act or ACA or Obamacare or Affordable Care Act or CBO or BHCA or Medicaid.

  • Right-wing media conveniently forget GOP's role in Obamacare losses

    ››› ››› JULIE ALDERMAN

    Right-wing media are hyping a survey that found the number of American adults without health insurance has increased “by some 2 million this year” and claiming that it shows the Affordable Care Act (ACA) is in a “death spiral.” But these reports fail to note that insurers have said uncertainty around the future of Obamacare -- caused by President Donald Trump and the Republican-led Congress -- has spurred premium increases and dwindling options in markets and that Republicans have been working for years to sabotage the law.

  • STUDY: Prime-time cable news drowned out negative impacts of Senate health care bill in favor of covering process

    Blog ››› ››› JULIE ALDERMAN, NICK FERNANDEZ, DINA RADTKE, NINA MAST & ROB SAVILLO

    When Republicans’ Senate health care bill looked like it was hurtling toward a vote two weeks ago, prime-time cable news largely neglected to cover several negative consequences of the bill and instead spent a disproportionate amount of time on the political process surrounding the legislation.

    Media Matters reviewed the two nights of cable news coverage -- from 5 to 11 p.m. -- between the release of the Congressional Budget Office’s (CBO) score of the Better Care Reconciliation Act of 2016 (BCRA) and Senate Majority Leader Mitch McConnell's (R-KY) announcement that the bill would be temporarily tabled until after congressional recess. We analyzed Nexis transcripts for individual statements -- defined as a single sentence -- about a wide range of reported negative impacts of the bill (including cuts to Medicaid funding, potential cuts to essential health benefits (EHBs), and a one-year freeze in federal funding for Planned Parenthood) and compared those to statements about the process surrounding the potential vote on the bill. We also reviewed coverage to see whether it included personal stories about people who would be impacted by the bill.

    During those two nights of coverage -- when media outlets were under the impression the bill was imminently coming up for a vote and potentially taking a major step toward becoming law -- process overwhelmed policy:

    • CNN, MSNBC, and Fox News made more than four times as many statements about process as they did about the negative impacts of the bill.

    • There were over 33 times more statements about process than personal stories of those who would be most affected by the law.

    • None of the three networks featured statements about potential cuts to mental health benefits, special education programs, or the negative impact of the proposed legislation on people with HIV.


    Sarah Wasko / Media Matters


    Sarah Wasko / Media Matters

    While the process surrounding the bill is a crucial part of the discussion (McConnell intentionally kept the drafting process secret and has been trying to rush the bill through the Senate), the extent to which process discussion eclipsed coverage of the impacts of the bill was staggering. On Fox News, the ratio between statements about process and statements about the negative impact of the bill was roughly 10-to-1, while on MSNBC and CNN, that ratio was nearly 5-to-1.

    Cable news made over 1,800 statements about process

    Over the two-day period, prime-time cable news made 1,835 statements about the process of passing the bill through the Senate. CNN made 792, Fox News made 274, and MSNBC made 769.

    There were no statements on any network about cuts to special education programs in public schools

    CNBC reported that out of approximately 11.2 million children in the U.S. who have special needs, “nearly 5 million rely on coverage from Medicaid and its Children’s Health Insurance Program, according to the Kaiser Family Foundation.” The BCRA’s cuts to Medicaid, made by phasing out the ACA’s Medicaid expansion program, threaten the funding for this program. The Washington Post noted trepidation among school districts that say that in order “to fill the hole they anticipate would be left by the Republican push to restructure Medicaid, they would either have to cut those services or downsize general education programs that serve all students.” There were no statements made about these cuts on CNN, Fox News, or MSNBC.

    There were no statements on any network about cuts to mental health treatment

    Cuts to Medicaid and a rollback on essential health benefits (EHBs) means that people with mental illness would be receiving “less coverage for more money,” according to HuffPost. As the Center for American Progress (CAP) noted, “The CBO’s prediction matches the reality of the pre-ACA insurance market,” when “a significant number of people did not have coverage for … mental health services.” There were no statements about these cuts on CNN, Fox News, or MSNBC.

    MSNBC aired no statements about the one-year freeze on federal funds to Planned Parenthood

    The GOP Senate bill called for freezing federal funds to Planned Parenthood for one year, blocking access to family planning and related women’s health services that the clinics offer to millions of Americans. Defunding Planned Parenthood on a state level has had detrimental effects on public health. When Indiana shuttered five Planned Parenthood facilities -- at least one of which did not offer abortion services -- in 2015, the state experienced “an unprecedented HIV epidemic caused by intravenous drug use” due to a lack of access to preventative and testing measures. In Texas, after cuts to Planned Parenthood funding, fewer women “received contraceptive services, fewer use highly effective methods, some have had unintended pregnancies, and some have had abortions they would not have had if not for these policies." There were nine statements about this freeze on CNN and two on Fox News. There were no statements about it on MSNBC.

    There were no statements on any network about the detrimental impact on those with HIV

    Three members of the Presidential Advisory Council on HIV/AIDS (PACHA) resigned in the wake of the proposed Senate bill. One of the former members, Scott Schoettes, told BuzzFeed News that the bill will “kill people” and force more Americans into bankruptcy due to high medical emergency costs. The National Minority AIDS Council (NMAC) condemned the bill, calling it “catastrophic for our nation’s health care system,” specifically by causing people living with or at risk of HIV and STDs to suffer and by impeding efforts to end the HIV and STD epidemics. There was no statement made about this impact on CNN, Fox News, or MSNBC.

    Statements about increases in premiums for low-income people were scarce

    As CBS reported, the CBO found that “for low-income people ... ‘the premium for a silver plan would typically be a relatively high percent of income,’ while the deductible for a bronze plan ‘would be a significantly higher percentage of income. As a result, despite being eligible for premium tax credits, few low-income people would purchase any plan.’” Vox noted that this would result in “making poor people pay more for less health insurance.” Additionally, The Washington Post pointed out that “by adjusting subsidy numbers and implementing policies that are projected to increase premiums, low-income people by and large end up with higher health-care costs.” There were seven statements made about these increases on CNN, one on Fox News, and five on MSNBC.

    Fox News and MSNBC did not mention potential cuts to essential health benefits

    The Senate bill “allows states to use a waiver to opt out of covering the essential health benefits package” that was put in place by the ACA, The Washington Post reported. The ACA provision requires insurers to cover things such as ambulatory care, hospital visits, and maternity care. Vox explained that in order for a state to opt out of a certain essential health benefit requirement under the ACA, it “has to show that its alternative plan would allow it to cover as many people, with coverage as generous, without increasing federal spending.” But the Senate bill “removes the guardrails that ensured state-based alternatives would offer strong coverage.” Without these standards, many patients “are likely to drop their coverage,” which, as one health care expert noted, would not serve to reduce costs because cost burden would shift entirely to the individuals who need the coverage. CNN made two statements about these cuts, and Fox News and MSNBC made zero.

    CNN and Fox News each aired only one statement about the Senate bill’s impact on patients with pre-existing conditions

    As The Atlantic pointed out, decreasing the requirements that a state must meet to waive coverage for essential health benefits would create a “backdoor way” to discriminate against people with pre-existing conditions. Los Angeles Times columnist Jon Healey wrote that, while the bill does not “directly” remove coverage for pre-existing conditions, it “would leave” those with pre-existing conditions “open to indirect attack by state officials eager to cut insurance premiums the easy way: by allowing insurers to cater to the customers they really want to serve, which are the ones who don’t need healthcare.” As CAP’s Topher Spiro summed up, under the Senate bill, “coverage would be eviscerated for millions of people with preexisting conditions.” There was one statement about these impacts on CNN and one on Fox News, and there were seven on MSNBC.

    Fox News didn’t mention cuts in funding for substance abuse treatment

    Time reported that if the Senate bill’s proposed changes to state essential health benefits waivers were implemented, “insurers may not continue to cover … out or inpatient substance use disorder services.” And while the BCRA “offer[s] $2 billion in funding to help combat the ongoing opioid epidemic,” lawmakers and activists for addressing substance use disorders have said that “much more money is needed”; one health economics professor told Mother Jones that the opioid epidemic funding allocation is merely “a joke.” Mother Jones also pointed out that slashes to Medicaid, which is “the largest payer for addiction services across the country,” would be “crippling,” particularly “for many of the communities that voted Trump into office.” CNN made 13 statements about these cuts, and MSNBC made nine. Fox made none. 

    Fox News made just two statements about the bill's major tax cut for the most wealthy

    PBS reported that under the Senate bill, the wealthiest Americans will receive an average annual tax cut of nearly $52,000, according to analysis by the Tax Policy Center. The bill would repeal the Obama-era tax on wealthy investors, as well as repeal a Medicare payroll tax on high-income families. There were 20 statements about these tax cuts on CNN, two on Fox News, and 22 on MSNBC.

    Cable news aired only a handful of statements about the bill's potential to reinstate lifetime caps on coverage

    NPR reported that the Senate bill “could even bring back lifetime caps on how much an insurer would pay for such services for a particular patient.” According to an estimate by CAP, “About 20 million people with employer-based coverage would face lifetime limits on coverage.” There was one statement about these caps made on CNN and there were five on MSNBC. There were no statements made on Fox News.

    Fox News made only four statements about cuts to Medicaid

    The CBO report projected that the Senate health care bill would cut $772 billion in federal money from Medicaid over a 10-year period. Between 14 and 15 million people would reportedly lose their health insurance under this drastic cut. According to CAP, under the Senate bill, “many states would face serious funding shortages for their Medicaid programs.” There were 58 statements about these cuts on CNN, four on Fox News, and 54 on MSNBC.

    Fox News made only 15 statements reporting that millions more would be uninsured under the Senate bill

    According to the CBO report, under the Senate bill, the number of people without health insurance would increase by 22 million over the next 10 years. There were 66 statements made about the increase in uninsured people on CNN, 15 on Fox News, and 67 on MSNBC.

    Methodology

    Media Matters searched news transcripts in the Nexis database on CNN, Fox News Channel, and MSNBC for the following programs: CNN’s The Situation Room, Erin Burnett Outfront, Anderson Cooper 360, and the 10 p.m. hour of CNN Tonight; Fox News’ The Fox News Specialists, Special Report with Bret Baier, The Story with Martha MacCallum, Tucker Carlson Tonight, The Five, and Hannity; and MSNBC’s Meet the Press Daily, For the Record with Greta Van Susteren, All In with Chris Hayes, The Rachel Maddow Show, and Last Word with Lawrence O’Donnell. We searched for any of the following terms in the body of the text: health care, Better Care Reconciliation Act, BCRA, Senate health, GOP health, Republican health, Affordable Care Act, ACA, Obama care, or Obamacare.

    Segments were included in the study if the Better Care Reconciliation Act was the stated topic of discussion or if two or more speakers in a multitopic segment discussed the BCRA with one another. If a speaker mentioned the BCRA in a multitopic segment and no other speaker in that segment engaged with the comment, then it was excluded from the analysis as a passing mention. All teasers of upcoming segments about the BCRA were also excluded from the analysis.

    For each segment we included in the study, two researchers independently coded the number of statements -- defined as a single sentence -- that included:

    1. Mentions of a personal narrative that contextualized how the BCRA would impact the subject of the narrative.

    1. Mentions of the process, e.g., how the bill would pass, how members of the Senate would or would not vote, how Senators would negotiate for votes, the optics of the bill, and anything that could influence a Senator’s vote for or against the BCRA.

    1. Mentions of the following negative impacts of the BCRA:

    • Mentions of cuts to Medicaid.

    • Mentions of the increase in premiums or out-of-pocket costs for low-income Americans.

    • Mentions of the potential elimination of essential health benefits.

    • Mentions of the impact of persons with pre-existing conditions.

    • Mentions of potential cuts to mental health care.

    • Mentions of cuts to substance abuse treatment.

    • Mentions of how cuts to Medicaid would impact special education programs in schools.

    • Mentions of cuts to Planned Parenthood.

    • Mentions of the impact of the BCRA on persons with HIV.

    • Mentions that the BCRA would provide significate tax cuts to wealthy or high-income Americans.

    • Mentions that the BCRA would allow insurers to reinstate lifetime caps.

    • Mentions of the reduction of the total number of insured Americans.

  • Republicans’ media strategy for health care: Hide, attack, and lie

    Blog ››› ››› JULIE ALDERMAN

    On Sunday morning political talk shows, Republicans have deployed a three-pronged approach surrounding the Senate bill to repeal and replace the Affordable Care Act (ACA). Republicans who openly support the bill have mostly been hiding. In three weeks of major Sunday talk shows that have aired since the bill was released, only two Republican senators who openly support the bill have appeared on the shows to defend it. Meanwhile, the Republicans willing to defend the bill in public have been attacking the Congressional Budget Office (CBO) and lying to make their case for the Better Care Reconciliation Act (BCRA), which is reportedly the most unpopular bill in three decades.

    1. Hiding

    Since the Senate bill was unveiled on June 22, there have been 15 appearances by Republican senators on the major Sunday morning political talk shows -- ABC’s This Week, CBS’ Face the Nation, CNN’s State of the Union, Fox Broadcasting Co.’s Fox News Sunday, and NBC’s Meet the Press. Of those appearances, only two senators expressed support for the bill: Sens. John Barrasso (R-WY) and Pat Toomey (R-PA). Other appearances by Republican senators included Sens. Mike Lee (R-UT), Rand Paul (R-KY), Susan Collins (R-ME), Ted Cruz (R-TX), and Ron Johnson (R-WI), all of whom have publicly stated that they do not support the bill. Sens. Bill Cassidy (R-LA), Lindsey Graham (R-SC), John McCain (R-AZ) and Ben Sasse (R-NE) also appeared on Sunday shows to discuss the bill, but gave no indication of whether they’d support it in its current form.

    For context, there are 52 Republican senators and, according to The New York Times, 17 of them have publicly said they would support the bill -- yet only two have gone on the Sunday political talk shows to defend it. It’s understandable why they would want to stay away from the shows; after all, the bill is incredibly unpopular.

    2. Attacking the CBO

    Republicans who have been willing to go on the Sunday shows to discuss the bill have borrowed a play right out of right-wing media’s playbook: attack the CBO. Days after the bill was released, the nonpartisan CBO published its report which stated that the bill “would increase the number of people without health insurance by 22 million by 2026.” Amid the bad news, some Republicans took to the Sunday shows to lash out at the office.

    On the July 2 edition of CNN’s State of the Union, Sasse attempted to discredit the CBO’s findings, claiming that while the CBO is “good at certain kinds of analysis,” when “analyzing macro, long-term, highly complex dynamic social programs, they’ve almost never been right.”

    Additionally, Health and Human Services Secretary Tom Price, who helped pick the man who is now in charge of the CBO, suggested that the CBO did not “look at the entire plan” and left out additional reforms the Republican Party intends to offer (which the GOP have not articulated yet):

    This tactic of attacking the CBO has been employed several times by others in the Trump administration and its right-wing media cronies to drum up support for the bill.

    3. Spreading flat-out lies

    With their backs against the wall, Republican lawmakers have resorted to flat-out lying in an attempt to garner support for the bill. During his appearance on Fox News Sunday, Barrasso invoked the conservative media canard that “Obamacare is collapsing every day,” despite the fact that this talking point has been repeatedly debunked.

    Toomey also lied about the bill on Face the Nation, saying “The Senate bill will codify and make permanent the Medicaid expansion.” As Politico’s Dan Diamond pointed out, “The GOP bill ends funding for Medicaid expansion in 2024, and bill’s additional cuts projected to reduce coverage for millions”:

    Republicans are utilizing these strategies of hiding, attacking, and lying because they cannot defend it by telling the truth and arguing on policy merits; the bill is set to kick millions off insurance plans while giving a tax cut to the most wealthy. And other Republicans who are uncomfortable using these strategies have stopped appearing on TV. Journalists, especially on the Sunday shows, need to ask why Republicans can’t stand behind the bill they are trying to jam through the Senate, before it’s too late.