Author: Leslie Eastman

First lady Michelle Obama on Thursday announced the new White House senior policy adviser for nutrition policy and director of the “Let’s Move!” campaign, a driving force behind controversial changes to school lunches. Debra Eschmeyer, who founded the FoodCorps service program designed to teach cafeteria workers about nutrition, will fill the role vacated by Sam Kass.

First Lady Michelle Obama named the new Executive Director of Let’s Move on Thursday, Debra Eschmeyer, a self-described “food justice” activist who believes that all aspects of food production and consumption should be “shared fairly.” Eschmeyer, who grew up on a dairy farm in Ohio and is now an organic vegetable farmer, previously campaigned for “school lunch reform” and has been involved in anti-obesity and school gardening initiatives. Eschmeyer was asked in an interview in May 2011 what her definition of “food justice” is. “I was an editor of ‘Food Justice’ (the new book by Robert Gottlieb and Anupama Joshi) so I spent several years thinking about the definition,” she said. “Food justice seeks to ensure that the benefits and risks of where, what, and how food is grown, produced, transported, distributed, accessed, and eaten are shared fairly.” “It represents a transformation of the current food system, including but not limited to eliminating disparities and inequities,” Eschmeyer added.

Health insurance giant Aetna Inc. is imposing excessive rate hikes on more than 5,000 small employers, according to California's insurance commissioner. Commissioner Dave Jones lashed out Thursday at the third-largest U.S. health insurer for raising premiums as much as 20% on some small businesses starting Jan. 1. The average increase of 10.7% will cost small employers and their workers $23.5 million in excessive premiums, according to the state. ...Aetna said its rate increase was justified based on the expected medical costs for employers. The Hartford, Conn., insurer rejected the state's request for a lower increase. The state said a 2.6% increase was more appropriate for this group of 64,000 employees and dependents.

...From a bird’s-eye view, however, some analysts have pointed out that Aetna’s rate increases are a rational result of the market distortions created by the ACA’s regulatory framework. As Scott Gottlieb argued at Forbes, “Obamacare was designed with the goal of commoditizing health insurance. The belief was that competition between plans would turn largely on premiums and cost sharing. This was seen as a way to hold down prices.” What happened instead, Gottlieb explained, was that pushing down on competition in the areas of networks and care delivery discouraged competition between “different benefit packages and plan designs.” In other words, the big, established coverage providers discovered they could create many variations on very similar benefit packages. In a free market for health care, different plans would differ in their benefit packages as well — giving small business owners, for instance, greater options around not just scope of coverage but cost of coverage. Instead, the ACA has dramatically narrowed their available coverage, leaving business owners with little alternative to Aetna’s hiked rates.