www.mozilla.com Weather Central
Voices
Headlines

Unequal pay among genders -4/17/2014, 10:25 AM

Fighting for Kansas veterans -4/17/2014, 10:25 AM

School reductions -4/17/2014, 10:25 AM

Dress for safety -4/16/2014, 10:09 AM

Does losing due process create inadequacies? -4/16/2014, 10:09 AM

Hate crimes -4/16/2014, 10:09 AM

On with the prom -4/15/2014, 8:57 AM

Newman proud to be in western Kansas -4/14/2014, 8:57 AM

Waiting on revenue estimates -4/13/2014, 8:57 AM

Wake up, people, and see the danger we’re in -4/13/2014, 12:03 PM

Patronizing paychecks -4/13/2014, 12:03 PM

Stripping of teachers’ due process worrisome -4/13/2014, 6:11 AM

The Kansas Ministry of Truth -4/13/2014, 6:14 AM

Letterman, Hillary and Jeb: 21st Century symbols -4/13/2014, 6:10 AM

Expensive school bill -4/13/2014, 6:12 AM

How to assist evil -4/11/2014, 9:15 AM

Taxing life away -4/11/2014, 9:12 AM

Lying about Obamacare -4/11/2014, 9:17 AM

The talk radio party? -4/10/2014, 11:04 AM

Term limits -4/10/2014, 11:06 AM

Let's do what we do best -4/10/2014, 11:05 AM

Satisfying the court -4/9/2014, 10:45 AM

Late-night funding fight -4/9/2014, 10:44 AM

‘Farmland’ — art is life on screen -4/9/2014, 10:45 AM

Tradition not changing -4/8/2014, 12:02 PM

Flat as a pancake -4/8/2014, 11:22 AM

Willing to take a bet -4/8/2014, 11:24 AM

Exposure to violence threatens children’s future -4/8/2014, 11:23 AM

Battling MS -4/7/2014, 8:58 AM

Why Renewable Fuel Standard matters -4/7/2014, 9:23 AM

Rites and wrongs of spring -4/7/2014, 9:23 AM

Coming to terms with Brownback -4/6/2014, 2:11 PM

Are 'religious viewpoint' laws needed in schools? -4/6/2014, 2:11 PM

School non-funding -4/6/2014, 2:11 PM

Sex and race equality -4/4/2014, 8:08 AM

Rest of the story -4/4/2014, 8:08 AM

Bank on USPS to save 'bank deserts' -4/4/2014, 8:08 AM

Gambling and government -4/3/2014, 9:51 AM

Not merely water under the bridge -4/3/2014, 9:51 AM

Federal fine -4/3/2014, 9:51 AM

Twister time is here again -4/2/2014, 9:59 AM

School funding battle continues -4/2/2014, 9:59 AM

Watching for the flip-floppers -4/1/2014, 10:09 AM

Will Hays enter the 21st century? -4/1/2014, 10:09 AM

Tax breaks -4/1/2014, 10:09 AM

Hobby Lobby case a slippery slope -3/31/2014, 9:16 AM

Happy birthday, Gloria -3/31/2014, 9:16 AM

Unequal voting -3/30/2014, 11:37 AM

Protecting the pollinators -3/30/2014, 11:37 AM

Parties, politicians and seeking an advantage -3/30/2014, 11:37 AM

Healthy aging -3/30/2014, 11:37 AM

Threatened chicken -3/30/2014, 11:37 AM

As temperatures rise, pay attention to stored grain -3/30/2014, 3:49 PM

Bizarre arguments and behavior -3/28/2014, 10:06 AM

In your dreams -3/28/2014, 10:06 AM

Against the wind -3/28/2014, 10:05 AM

Discovering the salt of the earth -3/28/2014, 10:05 AM

Entrepreneurship key to economic growth -3/27/2014, 8:36 AM

Kansas goes Kremlin with arrests, secrecy -3/27/2014, 8:36 AM

Get ready for Arbor Day -3/26/2014, 2:03 PM

Reading between the lines -3/26/2014, 2:02 PM

Switching parties -3/26/2014, 1:53 PM

Putting a price tag on damages -3/25/2014, 10:13 AM

Privately piercing, serious sacrifice -3/25/2014, 10:13 AM

Autism bill passes House -3/25/2014, 10:13 AM

United stance -3/25/2014, 10:13 AM

Legislative session getting down to the end -3/25/2014, 10:12 AM

Taxation bill involving livestock successful -3/25/2014, 10:12 AM

STARBASE Day hits Topeka -3/24/2014, 10:13 AM

Judging based on accomplishments -3/24/2014, 10:14 AM

Who speaks for the voiceless? -3/24/2014, 10:14 AM

Fly Hays -3/23/2014, 1:12 PM

Learning from the candidates -3/23/2014, 1:12 PM

hedy -3/21/2014, 1:12 PM

-3/20/2014, 9:59 AM

Fred Phelps -3/20/2014, 9:59 AM

Is There Wage Stagnation? -3/20/2014, 9:58 AM

Cost of living, wages don't add up -3/20/2014, 4:01 PM

Legislative proposal raises questions -3/20/2014, 4:01 PM

No vote on war -3/19/2014, 3:32 PM

Wonder of St. Fidelis -3/19/2014, 4:01 PM

Protein for breakfast -3/19/2014, 2:58 PM

A pointed comment on guns -3/19/2014, 8:57 AM

Campaign madness -3/19/2014, 2:58 PM

Counting the cost of Kansas' Medicaid expansion -3/18/2014, 9:26 AM

Tax-relief spells a sure vote -3/18/2014, 9:26 AM

Tourney madness -3/18/2014, 9:25 AM

St. Patrick's Day -- The value of Irish humor -3/16/2014, 5:44 PM

Not all things are bad -3/16/2014, 5:44 PM

Supreme Court takes Legislature to school -3/16/2014, 5:43 PM

Parochial education -3/16/2014, 5:43 PM

Governed by rules, not men -3/14/2014, 10:00 AM

More guns: Merrier or scarier? -3/14/2014, 10:00 AM

The war on women -3/13/2014, 9:51 AM

Labeling the education can -3/13/2014, 9:51 AM

Taking exception -3/12/2014, 2:03 PM

Choose wisely in today's society -3/12/2014, 2:02 PM

Budget concerns -3/12/2014, 2:01 PM

Courting judicial changes -3/11/2014, 10:33 AM

House now on home stretch -3/11/2014, 10:33 AM

myTown Calendar

SPOTLIGHT
[var top_story_head]

Pitfalls loom for media coverage of health reform law

Published on -8/2/2013, 12:17 PM

Printer-friendly version
E-Mail This Story

President Barack Obama recently predicted "glitches and bumps" when major provisions of the Affordable Care Act are implemented next year. It is always this way. Today we think of Medicare as a popular program that is part of the fabric of American life. But my friend Joseph Califano, who helped create Medicare while working for Lyndon B. Johnson, recalls real problems during the early days of the program, including resistance to desegregating hospitals and physician reluctance to participate.

But there is at least one big difference today: Our almost instant and nonstop news cycle, the internet and the impact of the news echo chamber on the public. As several news organizations learned during last summer's coverage of the ACA ruling in the Supreme Court, it's better to be right than to be first.

Getting the ACA story "right" will be nearly as difficult as implementation of the law itself. Here are four major challenges all news organizations will face. These are challenges we face, too, at Kaiser Health News.

1. The biggest challenge is that ACA is no longer a Washington story.

As the story moves to the states, national news organizations will need to cover the law's implementation beyond the Beltway and explain what it means for the American people. Few national news organizations have the "eyes and ears" across the country to do this well, and regional and local news organizations do not have the on-staff health policy expertise, even if they have the local ties. This is a challenge for us at Kaiser Health News, with a staff of reporters and editors based mostly in Washington.

We are establishing partnerships with regional newspapers, NPR affiliates and others, so that together we can spot the most relevant state and local stories to report them locally and nationally through our distribution partners. Other news organizations will find their own answers.

2. Another challenge will be judgment by anecdote. Critics will feed reporters ACA horror stories, and supporters will sell them success stories.

Every journalist will be able to find a bad ACA story or a good one. When does "one" person's experience represent "many," or "most"? The gold standard is to take examples from a statistically representative group using a scientifically valid survey, but that's just not going to happen very often with reporters working under deadlines. Journalists will need to do interviews, check with experts, scrape together what early data exist and make judgment calls about whether the anecdote they have is an outlier or representative of broader experience.

Let's say Bill Smith in Arkansas chains himself to the IRS building and refuses to pay his fine in protest of the law's requirement that Americans buy health insurance, but that overall, the mandate works smoothly, as it has in Massachusetts. No doubt, Smith will be "breaking news" on your favorite cable channel. With complex stories like ACA, there is a temptation to cover only breaking news and not the broader story. These news judgments matter because powerful anecdotes stick in the public mind in ways statistics never will.

3. A third challenge is deciding what to cover.

When the "death panel" story broke, many news organizations sprang into action to fact check and debunk the claim. Cable news covered the story day after day. No doubt the repeated coverage of nonexistent death panels contributed to public anxiety about the law. Today, 40 percent of the American people still believe there are death panels in ACA. News organizations need to make their own judgments about what is important to cover and be on guard against being manipulated by the political process. The decision about what stories to cover can be even more important than how to cover them.

4. Finally, there is the "balance trap" -- the pressure to present the views of the organized right and left rather than the facts.

This is a general problem for journalism today, but one that is particularly relevant to ACA because views on it are so sharply divided along partisan lines. I recently moderated a panel with three top journalists from The New York Times, NPR and The Wall Street Journal. All three said that the pressure to do just this was their biggest challenge covering health reform in a hyperpartisan Washington. It is not always easy to find the facts, and sometimes issues are maddeningly gray in health policy. But often the facts are clear in statute or regulations. They are in a government report or a study from a respected organization.

Our polls show that the public remains only dimly familiar with the details of ACA, and those who stand to gain the most (the uninsured or people with pre-existing medical conditions) often know the least.

As the main elements of the law are implemented, efforts are being mounted by the federal government, states and nonprofit organizations to inform people. As important as these targeted awareness and outreach efforts will be, the news media have always been the public's main source of health information. And while local TV news has traditionally been the public's top source of health news, newspapers, radio, online news and cable news are closely bunched as their top sources of information about ACA. How well news organizations step up to these and other ACA coverage challenges will have a big impact on implementation of the law and public judgment about it.

Drew Altman is the chief executive of the Kaiser Family Foundation.

digg delicious facebook stumbleupon google Newsvine
More News and Photos

Associated Press Videos