Readers Write: (April 28): Affordable Care Act, Metropolitan Council, Catholic Church, bipolar disorder on TV

  • Updated: April 25, 2014 - 5:40 PM

Here’s why it’s a big deal for a young person to get his own insurance.


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To opponent seeking to understand …

An April 23 letter writer begged: “Can someone please enlighten me?” He wanted to know what was preventing another letter writer’s 30-year-old son from getting medical insurance before the Affordable Care Act.

As most people who followed the debate over the ACA know, the answer in such situations often is a pre-existing condition. My son had a serious medical condition treated with major surgery when he graduated from high school under my employer’s medical plan. The plan continued to pay for the required annual follow-ups until he graduated from college. Then he looked everywhere to get an insurance policy to cover all his medical needs, but it was impossible — all insurance companies rejected his pre-existing condition, so he had to pay for the necessary treatments himself for the next 20 years.

Now, however, he has a new policy that completely covers his medical needs. The government isn’t providing him a handout for something he is working to pay for, but it is assuring him the opportunity to get the coverage he had been denied for years. I hope that the reader has been enlightened that in the real world the things he imagined as being available aren’t there, at least not for some people who need them.

Roger Nelson, Woodbury

• • •

I read with amazement a separate April 23 letter in which the writer was not buying the latest projection from the Congressional Budget Office of the ACA’s costs. First, CBO projections are not politically biased, since the study was not conducted or paid for by any political party. Next, the study was a 10-year projection, and credibility is added when an extended projection is updated with more accurate and additional data, such as learning that premiums were lower than anticipated, leading to lower government subsidies. I might project that the study will be updated again in the future, up or down. It will still be based on the best available data.

The real question is, what will be the impact of the ACA? There has already been some impact. For example, reported on Feb. 14 that annual per capita health care costs had increased about 3 percent for each of the past three years. Over the previous eight years, per capita health care costs increased about 8 percent per year. FactChecker attributes part of the lower recent increases to the ACA and part to the economy. It should be noted that the economy was in free fall during some of the “8 percent” years.

The cost of ACA plans will decrease further as the plans’ provisions are implemented, such as adding preventive care, adding coverage for (and premiums from) the previously uninsured, and reducing medical errors, waste and fraud.

Jerome Skrupky, Shakopee



Planners have the wrong outcome in mind

Why plan for growth? The Metropolitan Council should be planning for sustainability (“Growth forecast brings conflict as cities vie for development dollars,” April 23). The emerging reality is that our seven-county metropolitan region will face unprecedented challenges in the not-too-distant future. These social, economic and ecological realities, driven by limits imposed by changes in water and energy, will necessitate transformative changes. We must become a different kind of country. We should be planning transitions required over the next five years, not projecting growth over the next 30.

Face facts: Uncontrolled economic growth is unsustainable on a finite planet. Signs of stress are becoming apparent everywhere as a consequence of climate disruption and peaking of vital natural resources, particularly water and oil. If anyone has doubts, visit local grocery markets and compare rising prices for fruit, vegetables, meat and fish due to prolonged droughts and transportation costs from producing regions. It doesn’t make sense to pave over productive land in proximity to where people live. City dwellers need to be aware that the average distance our food travels from field to fork exceeds 1,500 miles and consumes 100 calories of energy to produce 10 calories of nourishment.

We need to be mindful that the future is not what it used to be. One of Earth Day’s messages was “business as usual” must come to an end soon if we hope to ensure a habitable planet.

David L. Trauger, Marine on Saint Croix

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