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Healthcare giant Aetna directly threatened the federal government by vowing to pull out of Obamacare if its proposed merger to Humana was not approved, revealed a letter by the company's CEO sent in July and reported on Wednesday.
The letter, obtained by the Huffington Post through a Freedom of Information Act request, proves what many observers have suspected and what the company has been denying: that its decision to pull out of most of the Affordable Care Act (ACA) health exchanges was a bargaining chip in its effort to achieve the controversial merger.
Aetna's threatening letter was authored by Aetna CEO Mark Bertolini, who would have "personally [made] up to $131 million" if the Humana merger had gone through, as International Business Times reporter David Sirota observed last month.
The Justice Department sued to block the merger last month.
Bernie Sanders tweeted a link to the Huffington Post's reporting, calling the article a "must-read" and condemning the government for giving so much power to corporations like Aetna:
Indeed, the government is not without an active role in this mess: the letter from Bertolini was in response to a letter from the Department of Justice, in which the department "asked Aetna how, if at all, a decision on the proposed merger would affect Aetna's willingness to offer insurance through the exchanges," the Huffington Post writes.
"Bertolini responded bluntly," the Huffington Post reports. "[...] if the Justice Department were to block the merger, Bertolini warned, Aetna could no longer sustain the losses from its exchange business, forcing it to sharply change direction."
The online outlet quotes from Bertolini's letter at length:
[I]f the deal were challenged and/or blocked we would need to take immediate actions to mitigate public exchange and ACA small group losses. Specifically, if the DOJ sues to enjoin the transaction, we will immediately take action to reduce our 2017 exchange footprint .... [I]nstead of expanding to 20 states next year, we would reduce our presence to no more than 10 states .... [I]t is very likely that we would need to leave the public exchange business entirely and plan for additional business efficiencies should our deal ultimately be blocked. By contrast, if the deal proceeds without the diverted time and energy associated with litigation, we would explore how to devote a portion of the additional synergies ... to supporting even more public exchange coverage over the next few years.

"Aetna may not like the Justice Department's decision to challenge its merger, and it has every right to fight that decision in court," Sen. Elizabeth Warren (D-Mass.) wrote Tuesday. "But violating antitrust law is a legal question, not a political one. The health of the American people should not be used as bargaining chips to force the government to bend to one giant company's will."
In response to the news of Aetna's pullout from the ACA, advocates of Medicare-for-all, such as Green Party presidential candidate Jill Stein, have renewed the call for universal, single-payer healthcare--which would, unlike Aetna and other healthcare corporations, put people's health above profit:
Dear Common Dreams reader, It’s been nearly 30 years since I co-founded Common Dreams with my late wife, Lina Newhouser. We had the radical notion that journalism should serve the public good, not corporate profits. It was clear to us from the outset what it would take to build such a project. No paid advertisements. No corporate sponsors. No millionaire publisher telling us what to think or do. Many people said we wouldn't last a year, but we proved those doubters wrong. Together with a tremendous team of journalists and dedicated staff, we built an independent media outlet free from the constraints of profits and corporate control. Our mission has always been simple: To inform. To inspire. To ignite change for the common good. Building Common Dreams was not easy. Our survival was never guaranteed. When you take on the most powerful forces—Wall Street greed, fossil fuel industry destruction, Big Tech lobbyists, and uber-rich oligarchs who have spent billions upon billions rigging the economy and democracy in their favor—the only bulwark you have is supporters who believe in your work. But here’s the urgent message from me today. It's never been this bad out there. And it's never been this hard to keep us going. At the very moment Common Dreams is most needed, the threats we face are intensifying. We need your support now more than ever. We don't accept corporate advertising and never will. We don't have a paywall because we don't think people should be blocked from critical news based on their ability to pay. Everything we do is funded by the donations of readers like you. When everyone does the little they can afford, we are strong. But if that support retreats or dries up, so do we. Will you donate now to make sure Common Dreams not only survives but thrives? —Craig Brown, Co-founder |
Healthcare giant Aetna directly threatened the federal government by vowing to pull out of Obamacare if its proposed merger to Humana was not approved, revealed a letter by the company's CEO sent in July and reported on Wednesday.
The letter, obtained by the Huffington Post through a Freedom of Information Act request, proves what many observers have suspected and what the company has been denying: that its decision to pull out of most of the Affordable Care Act (ACA) health exchanges was a bargaining chip in its effort to achieve the controversial merger.
Aetna's threatening letter was authored by Aetna CEO Mark Bertolini, who would have "personally [made] up to $131 million" if the Humana merger had gone through, as International Business Times reporter David Sirota observed last month.
The Justice Department sued to block the merger last month.
Bernie Sanders tweeted a link to the Huffington Post's reporting, calling the article a "must-read" and condemning the government for giving so much power to corporations like Aetna:
Indeed, the government is not without an active role in this mess: the letter from Bertolini was in response to a letter from the Department of Justice, in which the department "asked Aetna how, if at all, a decision on the proposed merger would affect Aetna's willingness to offer insurance through the exchanges," the Huffington Post writes.
"Bertolini responded bluntly," the Huffington Post reports. "[...] if the Justice Department were to block the merger, Bertolini warned, Aetna could no longer sustain the losses from its exchange business, forcing it to sharply change direction."
The online outlet quotes from Bertolini's letter at length:
[I]f the deal were challenged and/or blocked we would need to take immediate actions to mitigate public exchange and ACA small group losses. Specifically, if the DOJ sues to enjoin the transaction, we will immediately take action to reduce our 2017 exchange footprint .... [I]nstead of expanding to 20 states next year, we would reduce our presence to no more than 10 states .... [I]t is very likely that we would need to leave the public exchange business entirely and plan for additional business efficiencies should our deal ultimately be blocked. By contrast, if the deal proceeds without the diverted time and energy associated with litigation, we would explore how to devote a portion of the additional synergies ... to supporting even more public exchange coverage over the next few years.

"Aetna may not like the Justice Department's decision to challenge its merger, and it has every right to fight that decision in court," Sen. Elizabeth Warren (D-Mass.) wrote Tuesday. "But violating antitrust law is a legal question, not a political one. The health of the American people should not be used as bargaining chips to force the government to bend to one giant company's will."
In response to the news of Aetna's pullout from the ACA, advocates of Medicare-for-all, such as Green Party presidential candidate Jill Stein, have renewed the call for universal, single-payer healthcare--which would, unlike Aetna and other healthcare corporations, put people's health above profit:
Healthcare giant Aetna directly threatened the federal government by vowing to pull out of Obamacare if its proposed merger to Humana was not approved, revealed a letter by the company's CEO sent in July and reported on Wednesday.
The letter, obtained by the Huffington Post through a Freedom of Information Act request, proves what many observers have suspected and what the company has been denying: that its decision to pull out of most of the Affordable Care Act (ACA) health exchanges was a bargaining chip in its effort to achieve the controversial merger.
Aetna's threatening letter was authored by Aetna CEO Mark Bertolini, who would have "personally [made] up to $131 million" if the Humana merger had gone through, as International Business Times reporter David Sirota observed last month.
The Justice Department sued to block the merger last month.
Bernie Sanders tweeted a link to the Huffington Post's reporting, calling the article a "must-read" and condemning the government for giving so much power to corporations like Aetna:
Indeed, the government is not without an active role in this mess: the letter from Bertolini was in response to a letter from the Department of Justice, in which the department "asked Aetna how, if at all, a decision on the proposed merger would affect Aetna's willingness to offer insurance through the exchanges," the Huffington Post writes.
"Bertolini responded bluntly," the Huffington Post reports. "[...] if the Justice Department were to block the merger, Bertolini warned, Aetna could no longer sustain the losses from its exchange business, forcing it to sharply change direction."
The online outlet quotes from Bertolini's letter at length:
[I]f the deal were challenged and/or blocked we would need to take immediate actions to mitigate public exchange and ACA small group losses. Specifically, if the DOJ sues to enjoin the transaction, we will immediately take action to reduce our 2017 exchange footprint .... [I]nstead of expanding to 20 states next year, we would reduce our presence to no more than 10 states .... [I]t is very likely that we would need to leave the public exchange business entirely and plan for additional business efficiencies should our deal ultimately be blocked. By contrast, if the deal proceeds without the diverted time and energy associated with litigation, we would explore how to devote a portion of the additional synergies ... to supporting even more public exchange coverage over the next few years.

"Aetna may not like the Justice Department's decision to challenge its merger, and it has every right to fight that decision in court," Sen. Elizabeth Warren (D-Mass.) wrote Tuesday. "But violating antitrust law is a legal question, not a political one. The health of the American people should not be used as bargaining chips to force the government to bend to one giant company's will."
In response to the news of Aetna's pullout from the ACA, advocates of Medicare-for-all, such as Green Party presidential candidate Jill Stein, have renewed the call for universal, single-payer healthcare--which would, unlike Aetna and other healthcare corporations, put people's health above profit: