Local TV News Did A Really Bad Job Of Explaining Obamacare

Maybe this is why so many people hated it, even if they could benefit from it.
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(Reuters Health) - Local TV news coverage of the Affordable Care Act (ACA), often called Obamacare, generally focused more on politics than on information consumers can use to help choose insurance, a recent study suggests.

Overall, less than half of ACA-related news coverage focused on health insurance products, while much of the rest of the spots concentrated on political disagreements over the law, researchers report in the American Journal of Public Health.

Just seven percent of stories covered policy changes designed to help make coverage more affordable for many consumers ― including expanded eligibility for Medicaid and subsidies to cover some of the cost of insurance premiums.

“We were surprised by the overall low frequency with which local TV news covered key components of the ACA ― the Medicaid expansion and the subsidies provided to help people earning less than 400 percent of the federal poverty level afford their premiums and cost-sharing,” said lead study author Sarah Gollust of the University of Minnesota School of Public Health in Minneapolis.

“These are the most important policy tools that the law used to expand insurance coverage to lower-income Americans, but were not a focus of news coverage,” Gollust said by email. “When examining policy implementation details, the news tended to cover website glitches and enrollment numbers more than the actual details in the law that could help people.”

For the study, researchers examined 1,569 local news stories about Obamacare that aired in 2013 and 2014.

About one third of the stories focused on glitches with the government websites set up to help consumers enroll in health plans, the study found.

Another 27 percent of the stories concentrated on the number of people signing up for coverage.

People affiliated with the federal or state government or political parties were the most common sources for interviews, and the news stories only rarely cited research on ACA.

For millions of Americans who get most of their news from local television, the balance of stories about Obamacare and the information provided during newscasts could be the main way consumers determined if the law was a failure or a success, the researchers note.

One limitation of the study is that it’s not based on a representative sample of all local news coverage nationwide about the ACA, the authors point out. It also didn’t examine other sources of news, whether national broadcast networks, newspapers, radio, websites or social media.

Still, there’s an undeniable link between people’s exposure to news media and decisions they make about their health care, including whether they selected public health coverage made available through Obamacare, said Brendan Saloner, a health policy and management researcher at the Johns Hopkins Bloomberg School of Public Health in Baltimore.

“If people are feeling discouraged, confused, or overwhelmed, this can reduce their likelihood of seeking health insurance, which may keep them uninsured and undermine their access to valuable medical services,” Saloner, who wasn’t involved in the study, said by email.

“In fact, a large portion of people who are uninsured are eligible for subsidies or Medicaid, but many of these people do not realize that they could benefit from these programs,” Saloner added. “The news media can fill this informational void.”

 

SOURCE: http://bit.ly/2mRBphO American Journal of Public Health, online February 16, 2017.

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Before You Go

Health Care Reform Efforts In U.S. History
1912(01 of17)
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Former President Theodore Roosevelt champions national health insurance as he unsuccessfully tries to ride his progressive Bull Moose Party back to the White House. (credit:Topical Press Agency/Getty Images)
1935(02 of17)
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President Franklin D. Roosevelt favors creating national health insurance amid the Great Depression but decides to push for Social Security first. (credit:Keystone/Getty Images)
1942(03 of17)
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Roosevelt establishes wage and price controls during World War II. Businesses can't attract workers with higher pay so they compete through added benefits, including health insurance, which grows into a workplace perk. (credit:Hulton Archive/Getty Images)
1945(04 of17)
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President Harry Truman calls on Congress to create a national insurance program for those who pay voluntary fees. The American Medical Association denounces the idea as "socialized medicine" and it goes nowhere. (credit:Keystone/Getty Images)
1960(05 of17)
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John F. Kennedy makes health care a major campaign issue but as president can't get a plan for the elderly through Congress. (credit:Keystone/Getty Images)
1965 (06 of17)
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President Lyndon B. Johnson's legendary arm-twisting and a Congress dominated by his fellow Democrats lead to creation of two landmark government health programs: Medicare for the elderly and Medicaid for the poor. (credit:AFP/Getty Images)
1974(07 of17)
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President Richard Nixon wants to require employers to cover their workers and create federal subsidies to help everyone else buy private insurance. The Watergate scandal intervenes. (credit:Keystone/Getty Images)
1976(08 of17)
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President Jimmy Carter pushes a mandatory national health plan, but economic recession helps push it aside. (credit:Central Press/Getty Images)
1986(09 of17)
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President Ronald Reagan signs COBRA, a requirement that employers let former workers stay on the company health plan for 18 months after leaving a job, with workers bearing the cost. (credit:MIKE SARGENT/AFP/Getty Images)
1988(10 of17)
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Congress expands Medicare by adding a prescription drug benefit and catastrophic care coverage. It doesn't last long. Barraged by protests from older Americans upset about paying a tax to finance the additional coverage, Congress repeals the law the next year. (credit:TIM SLOAN/AFP/Getty Images)
1993(11 of17)
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President Bill Clinton puts first lady Hillary Rodham Clinton in charge of developing what becomes a 1,300-page plan for universal coverage. It requires businesses to cover their workers and mandates that everyone have health insurance. The plan meets Republican opposition, divides Democrats and comes under a firestorm of lobbying from businesses and the health care industry. It dies in the Senate. (credit:PAUL J. RICHARDS/AFP/Getty Images)
1997(12 of17)
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Clinton signs bipartisan legislation creating a state-federal program to provide coverage for millions of children in families of modest means whose incomes are too high to qualify for Medicaid. (credit:JAMAL A. WILSON/AFP/Getty Images)
2003(13 of17)
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President George W. Bush persuades Congress to add prescription drug coverage to Medicare in a major expansion of the program for older people. (credit:STEPHEN JAFFE/AFP/Getty Images)
2008(14 of17)
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Hillary Clinton promotes a sweeping health care plan in her bid for the Democratic presidential nomination. She loses to Barack Obama, who has a less comprehensive plan. (credit:PAUL RICHARDS/AFP/Getty Images)
2009(15 of17)
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President Barack Obama and the Democratic-controlled Congress spend an intense year ironing out legislation to require most companies to cover their workers; mandate that everyone have coverage or pay a fine; require insurance companies to accept all comers, regardless of any pre-existing conditions; and assist people who can't afford insurance. (credit:Alex Wong/Getty Images)
2010(16 of17)
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With no Republican support, Congress passes the measure, designed to extend health care coverage to more than 30 million uninsured people. Republican opponents scorned the law as "Obamacare." (credit:Mark Wilson/Getty Images)
2012(17 of17)
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On a campaign tour in the Midwest, Obama himself embraces the term "Obamacare" and says the law shows "I do care." (credit:BRENDAN SMIALOWSKI/AFP/Getty Images)

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