Corte Suprema mantiene el Obamacare..

http://www.elnuevoherald.com/2012/06/28/1239495/reforma-de-salud-de-obama-llega.html

Pues bien dicen que el presidente del Tribunal Supremo de Estados Unidos, John Roberts tira a la derecha, y que segun esta ley tira a la izquierda, pero el voto de Roberts hizo la diferencia..la gente esta "asustada" con la ley esa, con tanta politiqueria no sabemos a ciencia cierta como funcionara..pero si se trata de que todo el mundo tenga plan de salud eso lo veo bien..

Lo "curioso" de todo este lio y la campana presidencial, es que el mismo Mitt Rommey ya habia intentado de hacer algo similar ..

Tenure, 2003–2007

Main article: Governorship of Mitt Romney



Massachusetts State House portrait of Governor Mitt Romney, by artist Richard Whitney
When Romney was sworn in as the 70th governor of Massachusetts on January 2, 2003,^[153] both houses of the Massachusetts state legislature held large Democratic majorities.^[154] He picked his cabinet and advisors more on managerial abilities than partisan affiliation.^[155] Upon entering office in the middle of a fiscal year, he faced an immediate $650 million shortfall and a projected $3 billion deficit for the next year.^[136] Unexpected revenue of $1.0–1.3 billion from a previously enacted capital gains tax increase and $500 million in unanticipated federal grants decreased the deficit to $1.2–1.5 billion.^[156][157] Through a combination of spending cuts, increased fees, and removal of corporate tax loopholes,^[156] the state ran surpluses of around $600–700 million for the last two full fiscal years Romney was in office, although it began running deficits again after that.^{[nb 11]}

Romney supported raising various fees by more than $300 million, including those for driver's licenses, marriage licenses, and gun licenses.^[136][156] He increased a special gasoline retailer fee by two cents per gallon, generating about $60 million per year in additional revenue.^[136][156] (Opponents said the reliance on fees sometimes imposed a hardship on those who could least afford them.)^[156] Romney also closed tax loopholes that brought in another $181 million from businesses over the next two years and over $300 million for his term.^[136][162] He did so in the face of conservative and corporate critics that considered them tax increases.^[162]

The state legislature, with the governor's support, also cut spending by $1.6 billion, including $700 million in reductions in state aid to cities and towns.^[163] The cuts also included a $140 million reduction in state funding for higher education, which led state-run colleges and universities to increase tuition by 63 percent over four years.^[136][156] Romney sought additional cuts in his last year as governor by vetoing nearly 250 items in the state budget, but all were overridden by the heavily Democratic legislature.^[164]

The cuts in state spending put added pressure on localities to reduce services or raise property taxes, and the share of town and city revenues coming from property taxes rose from 49 to 53 percent.^[136][156] The combined state and local tax burden in Massachusetts increased during Romney's governorship but remained below the national average.^[136]

Romney sought to bring near-universal health insurance coverage to the state. This came after Staples founder Stemberg told him at the start of his term that doing so would be the best way he could help people,^{[165][166][167]} and after the federal government, owing to the rules of Medicaid funding, threatened to cut $385 million in those payments to Massachusetts if the state did not reduce the number of uninsured recipients of health care services.^{[155][165][168]} Although he had not campaigned on the idea of universal health insurance,^[167] Romney decided that because people without insurance still received expensive health care, the money spent by the state for such care could be better used to subsidize insurance for the poor.^[166][167]

After positing that any measure adopted not raise taxes and not resemble the previous decade's failed "Hillarycare" proposal, Romney formed a team of consultants from diverse political backgrounds.^{[155][165][168]} Beginning in late 2004, they came up with a set of proposals more ambitious than an incremental one from the Massachusetts Senate and more acceptable to him than one from the Massachusetts House of Representatives that incorporated a new payroll tax.^{[155][165][168]} In particular, Romney pushed for incorporating an individual mandate at the state level.^[21] Past rival Ted Kennedy, who had made universal health coverage his life's work and who, over time, had developed a warm relationship with Romney,^[169] gave the plan a positive reception, which encouraged Democratic legislators to cooperate.^[165][168] The effort eventually gained the support of all major stakeholders within the state, and Romney helped break a logjam between rival Democratic leaders in the legislature.^[165][168]




"There really wasn't Republican or Democrat in this. People ask me if this is conservative or liberal, and my answer is yes. It's liberal in the sense that we're getting our citizens health insurance. It's conservative in that we're not getting a government takeover."

—Mitt Romney upon passage of the Massachusetts health reform law in 2006.^[165]
On April 12, 2006, the governor signed the resulting Massachusetts health reform law, commonly called "Romneycare", which requires nearly all Massachusetts residents to buy health insurance coverage or face escalating tax penalties, such as the loss of their personal income tax exemption.^[170] The bill also establishes means-tested state subsidies for people who do not have adequate employer insurance and whose income is below a threshold, with funds that were previously used to compensate for the health costs of the uninsured.^{[171][172][173]} He vetoed eight sections of the health care legislation, including a controversial $295-per-employee assessment on businesses that do not offer health insurance and provisions guaranteeing dental benefits to Medicaid recipients.^[170][174] The legislature overrode all eight vetoes, but the governor's office said the differences were not essential.^[174] The law was the first of its kind in the nation and became the signature achievement of Romney's term in office.^{[168][nb 12]}

At the beginning of his governorship, Romney opposed same-sex marriage and civil unions, but advocated tolerance and supported some domestic partnership benefits.^{[168][176][177]} Faced with the dilemma of choosing between same-sex marriage or civil unions after the November 2003 Massachusetts Supreme Judicial Court decision legalizing same-sex marriages (Goodridge v. Department of Public Health), Romney reluctantly backed a state constitutional amendment in February 2004 that would have banned same-sex marriage but still allow civil unions, viewing it as the only feasible way to ban same-sex marriage in Massachusetts.^[178] In May 2004, the governor instructed town clerks to begin issuing marriage licenses to same-sex couples, but citing a 1913 law that barred out-of-state residents from getting married in Massachusetts if their union would be illegal in their home state, no marriage licenses were to be issued to out-of-state same-sex couples not planning to move to Massachusetts.^[176][179] In June 2005, Romney abandoned his support for the compromise amendment, stating that the amendment confused voters who oppose both same-sex marriage and civil unions.^[176] Instead, he endorsed a petition effort led by the Coalition for Marriage & Family that would have banned same-sex marriage and made no provisions for civil unions.^[176] In 2004 and 2006, he urged the U.S. Senate to vote in favor of the Federal Marriage Amendment.^[180][181]

In 2005, Romney revealed a change of view regarding abortion, moving from the "unequivocal" pro-choice position expressed during his 2002 campaign to a pro-life one in opposition to Roe v. Wade.^[168] He subsequently vetoed a bill on pro-life grounds that would expand access to emergency contraception in hospitals and pharmacies (the veto was overridden by the legislature).^[182]

Romney generally used the bully pulpit approach towards promoting his agenda, staging well-organized media events to appeal directly to the public rather than pushing his proposals in behind-doors sessions with the state legislature.^[168] He dealt with a public crisis of confidence in Boston's Big Dig project – that followed a fatal ceiling collapse in 2006 – by wresting control of the project from the Massachusetts Turnpike Authority.^[168]

During 2004, Romney spent considerable effort trying to bolster the state Republican Party, but it failed to gain any seats in the state legislative elections that year.^[136][183] He was given a prime-time appearance at the 2004 Republican National Convention, and was already being discussed as a potential 2008 presidential candidate.^[184] Midway through his term, Romney decided that he wanted to stage a full-time run for president,^[185] and on December 14, 2005, announced that he would not seek re-election for a second term.^[186] As chair of the Republican Governors Association, Romney traveled around the country, meeting prominent Republicans and building a national political network;^[185] he spent part or all of more than 200 days out of state during 2006, preparing for his run.^[187]

The governor had a 61 percent job approval rating in public polls after his initial fiscal actions in 2003, but it began to sink after that.^[188] The frequent out-of-state travel contributed to a decline in Romney's approval rating towards the end of his term;^[188][189] at 34 percent in November 2006, his rating level ranked 48th of the 50 U.S. governors.^[190] Dissatisfaction with Romney's administration and the weak condition of the Republican state party were among several factors that led to Democrat Deval Patrick's lopsided win over Republican Kerry Healey, Romney's Lieutenant Governor, in the 2006 Massachusetts gubernatorial election.^[189][191]

Romney filed to register a presidential campaign committee with the Federal Election Commission on his penultimate day in office as governor.^[192] His term ended January 4, 2007.

http://en.wikipedia.org/wiki/Mitt_Romney

Romney intentó traer una cobertura casi universal de seguro de salud para el estado. Esto se produjo después de Staples fundador Stemberg le dijo al comienzo de su mandato que, al hacerlo sería la mejor manera de que pudiera ayudar a la gente, [165] [166] [167] y después de que el gobierno federal, debido a las reglas de los fondos de Medicaid, amenazó con recortar $ 385 millones en los pagos a Massachusetts si el Estado no redujo el número de destinatarios que no tienen seguro de asistencia sanitaria. [155] [165] [168] A pesar de que no había hecho campaña en la idea de un seguro universal de salud, [167 ] Romney decidió que debido a que las personas sin seguro sigue recibiendo atención médica costosa, el dinero gastado por el Estado para el cuidado de este tipo podría ser mejor utilizado para subsidiar el seguro para los pobres. [166] [167] Después de plantear que cualquier medida que no se aprobó aumentar los impuestos y no se parecen a la década anterior ha fallado "HillaryCare" propuesta, Romney formó un equipo de consultores de diversos orígenes políticos. [155] [165] [168] A partir de finales de 2004, que llevaron a cabo un conjunto de propuestas más ambiciosas que un un incremento del Senado de Massachusetts y más aceptable para él que uno de la Cámara de Representantes de Massachusetts que incorporaba un nuevo impuesto sobre la nómina. [155] [165] [168] En particular, Romney empujó para la incorporación de un mandato individual a nivel estatal. [21] Pasado rival de Ted Kennedy, que había hecho una cobertura sanitaria universal obra de su vida y que, con el tiempo, se había desarrollado una cálida relación con Romney, [169] dio el plan de una recepción positiva, lo que alentó a los legisladores demócratas a cooperar. [165] [168] El esfuerzo finalmente obtuvo el apoyo de todos los actores principales dentro del estado, y Romney ayudó a romper un estancamiento entre los rivales de los líderes demócratas en la legislatura. [165] [168] "En realidad no era republicano o demócrata en esto. La gente me pregunta si es conservador o liberal, y mi respuesta es sí. Es liberal en el sentido de que estamos consiguiendo nuestro seguro de salud de los ciudadanos. Es conservador en que estamos no tener una toma de posesión del gobierno. " -Mitt Romney, sobre la aprobación de la ley de reforma de salud de Massachusetts en 2006. [165]

El 12 de abril de 2006, el gobernador firmó la ley de Massachusetts que resulta la reforma de salud, comúnmente llamado "Romneycare", que exige casi todos los residentes de Massachusetts para comprar cobertura de seguro médico so pena de la escalada de impuestos, tales como la pérdida de la exención del IRPF. [170] El proyecto de ley también establece los medios de prueba los subsidios estatales para las personas que no tienen seguro médico del empleador adecuada y cuyo ingreso está por debajo de un umbral, con los fondos que se utilizaron anteriormente para compensar los costos de la salud de los no asegurados. [171] [172 ] [173] Él vetó ocho secciones de la ley de salud, incluidos US $ controvertido 295 por empleado de evaluación sobre las empresas que no ofrecen seguro de salud y disposiciones que garanticen los beneficios dentales a los beneficiarios de Medicaid. [170] [174] El legislador hizo caso omiso de todos los ocho vetos, pero la oficina del gobernador dijo que las diferencias no eran esenciales. [174] La ley fue la primera de su tipo en el país y se convirtió en el logro la firma del término de Romney en el cargo. [168] [Nota 12]

UNA EXPLICACIÓN SENCILLA —aunque en inglés— de lo que supone la sentencia del Tribunal Supremo de EE.UU. sobre la reforma sanitaria de Obama. Es sin duda una victoria para él, curiosamente conseguida gracias a John Roberts, un magistrado a cuyo nombramiento por Bush se opuso con uñas y dientes (¿recordáis todos esos lamentos de que el pérfido Bú había conseguido que el Supremo jamás fuese a dictar resoluciones progresistas? Debían de creer que el alto tribunal yanqui es como el Constitucional español, es decir, la voz de su amo; ignoraban que el sistema político y judicial norteamericano funciona muy, pero que muy distinto).

Es una victoria, por mucho que lo sea con un argumento legal que no era el utilizado por Obama: el legislador, dice el Supremo, no tiene potestad para obligar a los ciudadanos a entablar relaciones contractuales,. Pero afirma que el mandato individual en realidad es un impuesto, y el Congreso sí tiene poder para establecer impuestos.

Lo que falta por ver es si se convierte en una victoria pírrica, galvanizando a los republicanos en torno a la causa de derogar la reforma si ganan en noviembre. En ese sentido, tienen media campaña hecha sólo con el vídeo en el que Obama negaba a George Stephanopoulos, casi ofendido, que el mandato individual fuera un impuesto. No está claro que este tema por sí sólo sea suficiente como para ganar las elecciones; Romney tiene unas cuantas vulnerabilidades, entre ellas el haber aprobado una reforma sanitaria muy similar en Massachussetts cuando era gobernador. Los republicanos tendrán que hacerlo con mucha mano izquierda, explotando el rechazo atávico de los estadounidenses a los impuestos, pero sin pasarse de frenada, algo que para su desgracia suelen hacer. Y tampoco está claro que Romney derogue la reforma sanitaria de un plumazo si ganan; hubo tanta o más oposición a Medicare y Medicaid en los años 60, y ahí están.
http://barcepundit.blogspot.com/