Then last week, Carol Gentry of Health News Florida reported that the state Department of Health had issued an order forbidding navigators from counseling people on the premises of county health departments—a logical place for sign-ups, since people often seek treatment there. Gentry asked why. “There was a need for ‘clarity’ and ‘a consistent message’ across the agency,” said a department spokeswoman. Dr. Marc Yacht, a retired county health director, told Gentry the order will “significantly compromise a multitude of needy Floridians from getting critical health care.”

Apparently the state of play in the Sunshine State has alarmed Secretary of Health and Human Services Kathleen Sebelius so much that she is making repeated trips to Florida to promote the Affordable Care Act. Last Friday, in response to the restriction on navigators’ access, Sebelius’ office sent out one of its ICYMI messages featuring an AP story about the Secretary’s visit to Orlando. Perhaps that inspired a report in The New York Times Wednesday that featured an unusually declarative headline: “Florida Among States Undercutting Health Care Enrollment.” (The story also quoted the insurance commission in neighboring Georgia saying the state would do “everything in our power to be an obstructionist.”)

Millions of Floridians need help navigating the insurance jungle. It falls to the press to step into the breach, not only to continue revealing the politics of Gov. Scott’s wagon train but also to give consumers the answers they need to buy insurance federal law says they’re entitled to. The coverage to date has been solid. But it’s time for the Tampa Bay Times, the Herald, the Sun Sentinel, and others to reach back into their archives and dust off the great stories they did during the heyday of the consumer movement and afterward—stories that revealed fraud and deception, stories that exposed who state regulators were listening to, and most important, stories that guided buyers through the marketplace. In this time of the state recalcitrance and public confusion, they would be doing their audiences a major service.

Related content:

Exchange Watch: The ongoing game of spin the rates

The Big Boys: Insurance agents protect turf

Obamacare: Here comes the information tsunami

Follow @USProjectCJR for more posts from this author and the rest of the United States Project team.

If you'd like to get email from CJR writers and editors, add your email address to our newsletter roll and we'll be in touch.


Trudy Lieberman is a fellow at the Center for Advancing Health and a longtime contributing editor to the Columbia Journalism Review. She is the lead writer for The Second Opinion, CJR’s healthcare desk, which is part of our United States Project on the coverage of politics and policy. Follow her on Twitter @Trudy_Lieberman.