We spoke with Robert Blendon, professor of health policy and political analysis at the School of Public Health and faculty member of HKS, about the Affordable Care Act and its challenges on the president’s radar screen.Q: What health care policy priorities should be atop the president’s agenda in his second term?A: The election is now over and there is no longer an immediate legislative threat to repealing the Affordable Care Act. But to the surprise of many in the policy community, the debate over the future size and scope of this major piece of healthcare legislation continues. Within the last few weeks, the majority of state governors have indicated an unwillingness to move ahead with state-managed health insurance exchanges, leaving the federal government to take on this task. Also, many have announced that they will not move ahead with expanding their current Medicaid programs due to perceived concerns about the long-term fiscal impact on their state budgets. In many states almost half the uninsured who were to be covered by the ACA were to receive Medicaid. Thus the near-universal nature of this national insurance legislation remains at risk unless these states change their positions and move forward with the Medicaid expansion.
SHIVNARINE Chanderpaul hit a ton to help Lancashire fight back in the Roses match with Yorkshire at Old Trafford.The Tykes began the day 421-7, and Jack Brooks soon scored the six singles he needed to complete his maiden first-class ton before ending unbeaten on 109 as Yorkshire declared at 448-8.Ryan Sidebottom (2-41) then struck twice as Lancashire slipped to 68-4.But Chanderpaul (106) and Ryan McLaren (63 not out) helped Lancashire reach 264-6 at stumps, 184 runs behind.However, the dismissal of Chanderpaul by Ben Coad with fewer than five overs left in the day will reignite Yorkshire’s hopes of forcing victory if they can clean up the tail on the fourth morning.It is also not yet certain whether James Anderson will bat, the 34-year-old England fast bowler having had to leave the field of play on day one with a tight groin.Chanderpaul’s knock, the 75th first-class century of his career and his fourth for Lancashire, came off 199 balls, including 11 fours and one six.He and McLaren shared 112 for the sixth wicket as the Red Rose endeavoured to frustrate the visiting bowlers.Earlier in the day, 32-year-old seamer Brooks reached three figures for the first time in his career, having passed his previous best score of 53 the previous day.Lancashire’s Shiv Chanderpaul told BBC Radio Manchester:“It was hard work out there. We lost some early wickets and someone had to dig in and lay the foundation. Ryan batted really well, as did Dane Vilas.“Hopefully Ryan can push on and get us beyond the 300-mark and put some more bonus points on the board for us. If we get to 300, we are in a good position to not have to bat again in this match.“I couldn’t believe that I missed that ball and got out. I was really looking forward to batting on tomorrow. I was looking at the scoreboard to see how many overs were left and trying to see out the evening. But that’s the way cricket goes.”
“Nabil Fekir is our captain and technical leader. We will have to do more to compensate for his absence,” Genesio told reporters yesterday.“We will have to reduce Messi’s influence.”Despite Messi having scored more than 100 times in the Champions League, Lyon midfielder Houssem Aouar has confidence in his teammate Mendy to control proceedings at the Groupama Stadium.“I think that Ferland Mendy is ready to face Messi,” he said.“We are confident in the qualities of our squad.”Aouar’s enthusiasm may yet be dented as Lyon are also sweating on the fitness of defender Jason Denayer and midfielder Tanguy Ndombele.The French side geared up for Tuesday’s clash with a hard-fought 2-1 Ligue 1 win against Guingamp on Friday while Barca needed a Messi penalty to beat Real Valladolid 1-0 in La Liga on Saturday.Lyon are the clear underdogs but they have already shown they can rise up to the big occasions, inflicting Paris St Germain’s only Ligue 1 defeat of the season a couple of weeks ago. They also beat English champions Manchester City in the Champions League group stage in September.TODAYLiverpool v B’MunichLyon v BarcelonaWEDNESDAYAtletico v JuventusSchalke 04 v Man CityShare this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegram CHAMPIONS LEAGUEOlympique Lyonnais will be out to ‘reduce’ the influence of Lionel Messi when they host Barcelona in their Champions League last-16 first leg without their talisman and captain Nabil Fekir tonight.Fekir will be suspended for the game, limiting Lyon’s striking power as Bruno Genesio’s side will rely on defender Ferland Mendy to contain Argentine forward Messi and French striker Ousmane Dembele.