Citizen G'kar: Musings on Earth

Showing posts with label Insurance. Show all posts
Showing posts with label Insurance. Show all posts

October 30, 2009

The 2010 Reforms in the House Healthcare Reform Bill

Here is a first look at the House Health Insurance reform bill that would initiate these changes in 2010! It is truly worthy of our support.
MIAMI - SEPTEMBER 22:  Elio Medina and others ...
Image by Getty Images via Daylife

House leadership has released this fact sheet on the key elements of the House healthcare reform bill that will begin in 2010.

House leadership has released this fact sheet on the key elements of the House healthcare reform bill that will begin in 2010 [pdf].


Among the most important of these front-loaded provision are the creation of the high risk pool, extension of COBRA benefits (which should also include some sort of subsidy program, since COBRA rates are often unaffordable, though select groups do receive assistance under the Recovery Act), upping the age that people can be covered by their parents' plans, and the increased funding for Community Health Centers are all very good starts for 2010. The most key for staunching the bleeding in our system, if you will, are the high risk pool and the Community Health Center funding. More of the uninsured will be able to get insurance through the pool and the CHCs, which are absolutely critical to providing care for the uninsured, will at least see some increased ability to do so.

A handful of the reforms will immediately address issues for Medicare beneficiaries, all solid reforms that should also provide some political help in 2010--seniors vote.

Here's the full list of what will start happening in 2010 under the bill.






  1. BEGINS TO CLOSE THE MEDICARE PART D DONUT HOLE — Reduces the donut hole by $500 and institutes a 50% discount on brand-name drugs, effective January 1, 2010.



  1. IMMEDIATE HELP FOR THE UNINSURED UNTIL EXCHANGE IS AVAILABLE (INTERIM HIGH-RISK POOL) — Creates a temporary insurance program until the Exchange is available for individuals who have been uninsured for several months or have been denied a policy because of pre-existing conditions.



  1. BANS LIFETIME LIMITS ON COVERAGE—Prohibits health insurance companies from placing lifetime caps on coverage.



  1. ENDS RESCISSIONS—Prohibits insurers from nullifying or rescinding a patient’s policy when they file a claim for benefits, except in the case of fraud.



  1. EXTENDS COVERAGE FOR YOUNG PEOPLE UP TO 27TH BIRTHDAY THROUGH PARENTS’ INSURANCE— Requires health plans to allow young people through age 26 to remain on their parents’ insurance policy, at the parents’ choice.



  1. ELIMINATES COST-SHARING FOR PREVENTIVE SERVICES IN MEDICARE—Eliminates co-payments for preventive services and exempts preventive services from deductibles under the Medicare program.



  1. IMPROVES HELP FOR LOW-INCOME MEDICARE BENEFICIARIES—Improves the low-income protection programs in Medicare to assure more individuals are able to access this vital help.



  1. PROVIDES NEW CONSUMER PROTECTIONS IN MEDICARE ADVANTAGE— Prohibits Medicare Advantage plans from charging enrollees higher cost-sharing for services in their private plan than what is charged in traditional Medicare.



  1. IMMEDIATE SUNSHINE ON PRICE GOUGING—Discourages excessive price increases by insurance companies through review and disclosure of insurance rate increases.



  1. CONTINUITY FOR DISPLACED WORKERS—Allows Americans to keep their COBRA coverage until the Exchange is in place and they can access affordable coverage.



  1. CREATES NEW, VOLUNTARY, PUBLIC LONG-TERM CARE INSURANCE PROGRAM—Creates a long-term care insurance program to be financed by voluntary payroll deductions to provide benefits to adults who become functionally disabled.



  1. HELP FOR EARLY RETIREES—Creates a $10 billon fund to finance a temporary reinsurance program to help offset the costs of expensive health claims for employers that provide health benefits for retirees age 55-64.



  1. COMMUNITY HEALTH CENTERS—Increases funding for Community Health Centers to allow for a doubling of the number of patients seen by the centers over the next 5 years.



  1. INCREASING NUMBER OF PRIMARY CARE DOCTORS — Provides new investment in training programs to increase the number of primary care doctors, nurses, and public health professionals.



via The 2010 Reforms in the House Healthcare Reform Bill | PEEK | AlterNet.










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August 30, 2009

The Return of the Welfare Queen and Open Class Warfare

Michael Steele invoked class warfare in his fear mongering attempt to turn seniors against the working poor who can't afford health care by claiming the seniors will lose Medicare benefits if health care goes to the uninsured. This guy is as dishonest as anyone in the Republican Party.

Michael Steele
Image by ajagendorf25 via Flickr


The healthcare reform debate took a rather remarkable turn last week when the Washington Post published an Op-Ed piece by Republican National Committee chairman Michael Steele telling retirees that his party would fight any effort to modify the benefits they derived from the government-run Medicare program in order to offer similar benefits to others. The Op-Ed was immediately supplemented by an item on the RNC Web page trumpeting a "Seniors' Health Care Bill of Rights," similarly pledging the GOP to a to-the-death defense of Medicare benefits and procedures, allegedly under dire threat from universal health coverage.Steele's gambit mainly got attention because it was laughably in conflict with nearly a half century of Republican attacks on Medicare, and because he adopted every ludicrous made-up claim about the impact of this or that health reform bill on Medicare. In a disastrous NPR interview later in the week, the GOP chieftain had a predictably difficult time explaining why the GOP wanted to "protect" Medicare because it was so bad a program that it couldn't withstand any "raids."

[..]This should be familiar to any political observer over the age of 30 as a new version of the old "welfare wedge": the emotionally powerful conservative argument that Democrats want to use Big Government to take away the good things of life from people who have earned them and give them to people who haven't.

[..]What's most interesting, and dangerous, about the new "welfare wedge" is that it's not about poor people who don't work for a living. After all, most very poor families often already have health insurance (depending on where they live) via Medicaid, and those who don't work these days generally don't have the option of working. The target of "welfare" shouters seems to be the working poor, or middle-class minority families who are struggling to stay in the middle class.

via The return of the welfare queen | Salon.


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August 15, 2009

Who's behind the attacks on a health care overhaul?

Those behind the fight against health care are profiteers. Do you want to pay more for health care just to keep money in these guys pockets?

May_30_Health_Care_Rally_NP (357)
Image by seiuhealthcare775nw via Flickr


Much of the money and strategy behind the so-called grassroots groups organizing opposition to the Democrats' health care plans comes from conservative political consultants, professional organizers and millionaires, some of whom hold financial stakes in the outcome.If President Barack Obama and Congress extend health insurance coverage to millions of uninsured Americans, raise taxes on the wealthy to pay for it, and limit insurers' discretion on who they cover and what they charge, that could pinch these opponents.Most of them say they oppose big government in principle. Despite Obama's assurances to the contrary, many of them insist that the Democrats' legislation is but the first step toward creation of a single-payer system, where the federal government hires the doctors, approves treatments, sets the rules and imperils profit.These opposition groups appear to have spent at least $10 million so far on ads attacking the Democrats' plans. Still, supporters of a health care overhaul have outspent opponents by more than 2-to-1 so far, according to Evan Tracey of the Campaign Media Analysis Group, which tracks ad spending. Supporters include drug makers angling for their own protections, unions, the American Medical Association and AARP, the seniors' lobby. Supporters announced this week that they intend to spend $150 million promoting an overhaul.

more at: Who's behind the attacks on a health care overhaul? | McClatchy.
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August 14, 2009

The Truth about Healthcare


President Lyndon B. Johnson signing the Medica...
Image via Wikipedia


Lots of common sense here. Seems a bit uncommon these days of right wing propaganda filling our media sources. Here is the truth.
David Axelrod
Senior Adviser to the President

We launched www.WhiteHouse.gov/realitycheck this week to knock down the rumors and lies that are floating around the internet. You can find the information below, and much more, there. For example, we've just added a video of Nancy-Ann DeParle from our Health Reform Office tackling a viral email head on. Check it out:

Health Insurance Reform Reality Check

8 ways reform provides security and stability to those with or without coverage

  1. Ends Discrimination for Pre-Existing Conditions: Insurance companies will be prohibited from refusing you coverage because of your medical history.

  2. Ends Exorbitant Out-of-Pocket Expenses, Deductibles or Co-Pays: Insurance companies will have to abide by yearly caps on how much they can charge for out-of-pocket expenses.

  3. Ends Cost-Sharing for Preventive Care: Insurance companies must fully cover, without charge, regular checkups and tests that help you prevent illness, such as mammograms or eye and foot exams for diabetics.

  4. Ends Dropping of Coverage for Seriously Ill: Insurance companies will be prohibited from dropping or watering down insurance coverage for those who become seriously ill.

  5. Ends Gender Discrimination: Insurance companies will be prohibited from charging you more because of your gender.

  6. Ends Annual or Lifetime Caps on Coverage: Insurance companies will be prevented from placing annual or lifetime caps on the coverage you receive.

  7. Extends Coverage for Young Adults: Children would continue to be eligible for family coverage through the age of 26.

  8. Guarantees Insurance Renewal: Insurance companies will be required to renew any policy as long as the policyholder pays their premium in full. Insurance companies won't be allowed to refuse renewal because someone became sick.


Learn more and get details: http://www.WhiteHouse.gov/health-insurance-consumer-protections/

8 common myths about health insurance reform

  1. Reform will stop "rationing" - not increase it: It’s a myth that reform will mean a "government takeover" of health care or lead to "rationing." To the contrary, reform will forbid many forms of rationing that are currently being used by insurance companies.

  2. We can’t afford reform: It's the status quo we can't afford. It’s a myth that reform will bust the budget. To the contrary, the President has identified ways to pay for the vast majority of the up-front costs by cutting waste, fraud, and abuse within existing government health programs; ending big subsidies to insurance companies; and increasing efficiency with such steps as coordinating care and streamlining paperwork. In the long term, reform can help bring down costs that will otherwise lead to a fiscal crisis.

  3. Reform would encourage "euthanasia": It does not. It’s a malicious myth that reform would encourage or even require euthanasia for seniors. For seniors who want to consult with their family and physicians about end-of life decisions, reform will help to cover these voluntary, private consultations for those who want help with these personal and difficult family decisions.

  4. Vets' health care is safe and sound: It’s a myth that health insurance reform will affect veterans' access to the care they get now. To the contrary, the President's budget significantly expands coverage under the VA, extending care to 500,000 more veterans who were previously excluded. The VA Healthcare system will continue to be available for all eligible veterans.

  5. Reform will benefit small business - not burden it: It’s a myth that health insurance reform will hurt small businesses. To the contrary, reform will ease the burdens on small businesses, provide tax credits to help them pay for employee coverage and help level the playing field with big firms who pay much less to cover their employees on average.

  6. Your Medicare is safe, and stronger with reform: It’s myth that Health Insurance Reform would be financed by cutting Medicare benefits. To the contrary, reform will improve the long-term financial health of Medicare, ensure better coordination, eliminate waste and unnecessary subsidies to insurance companies, and help to close the Medicare "doughnut" hole to make prescription drugs more affordable for seniors.

  7. You can keep your own insurance: It’s myth that reform will force you out of your current insurance plan or force you to change doctors. To the contrary, reform will expand your choices, not eliminate them.

  8. No, government will not do anything with your bank account: It is an absurd myth that government will be in charge of your bank accounts.  Health insurance reform will simplify administration, making it easier and more convenient for you to pay bills in a method that you choose.  Just like paying a phone bill or a utility bill, you can pay by traditional check, or by a direct electronic payment. And forms will be standardized so they will be easier to understand. The choice is up to you – and the same rules of privacy will apply as they do for all other electronic payments that people make.


Learn more and get details:
http://www.WhiteHouse.gov/realitycheck
http://www.WhiteHouse.gov/realitycheck/faq

8 Reasons We Need Health Insurance Reform Now

  1. Coverage Denied to Millions: A recent national survey estimated that 12.6 million non-elderly adults – 36 percent of those who tried to purchase health insurance directly from an insurance company in the individual insurance market – were in fact discriminated against because of a pre-existing condition in the previous three years or dropped from coverage when they became seriously ill. Learn more: http://www.healthreform.gov/reports/denied_coverage/index.html

  2. Less Care for More Costs: With each passing year, Americans are paying more for health care coverage. Employer-sponsored health insurance premiums have nearly doubled since 2000, a rate three times faster than wages. In 2008, the average premium for a family plan purchased through an employer was $12,680, nearly the annual earnings of a full-time minimum wage job.  Americans pay more than ever for health insurance, but get less coverage. Learn more: http://www.healthreform.gov/reports/hiddencosts/index.html

  3. Roadblocks to Care for Women: Women’s reproductive health requires more regular contact with health care providers, including yearly pap smears, mammograms, and obstetric care. Women are also more likely to report fair or poor health than men (9.5% versus 9.0%). While rates of chronic conditions such as diabetes and high blood pressure are similar to men, women are twice as likely to suffer from headaches and are more likely to experience joint, back or neck pain. These chronic conditions often require regular and frequent treatment and follow-up care. Learn more: http://www.healthreform.gov/reports/women/index.html

  4. Hard Times in the Heartland: Throughout rural America, there are nearly 50 million people who face challenges in accessing health care. The past several decades have consistently shown higher rates of poverty, mortality, uninsurance, and limited access to a primary health care provider in rural areas. With the recent economic downturn, there is potential for an increase in many of the health disparities and access concerns that are already elevated in rural communities. Learn more: http://www.healthreform.gov/reports/hardtimes

  5. Small Businesses Struggle to Provide Health Coverage: Nearly one-third of the uninsured – 13 million people – are employees of firms with less than 100 workers. From 2000 to 2007, the proportion of non-elderly Americans covered by employer-based health insurance fell from 66% to 61%. Much of this decline stems from small business. The percentage of small businesses offering coverage dropped from 68% to 59%, while large firms held stable at 99%. About a third of such workers in firms with fewer than 50 employees obtain insurance through a spouse. Learn more: http://www.healthreform.gov/reports/helpbottomline

  6. The Tragedies are Personal: Half of all personal bankruptcies are at least partly the result of medical expenses. The typical elderly couple may have to save nearly $300,000 to pay for health costs not covered by Medicare alone. Learn more: http://www.healthreform.gov/reports/inaction

  7. Diminishing Access to Care: From 2000 to 2007, the proportion of non-elderly Americans covered by employer-based health insurance fell from 66% to 61%. An estimated 87 million people - one in every three Americans under the age of 65 - were uninsured at some point in 2007 and 2008. More than 80% of the uninsured are in working families. Learn more: http://www.healthreform.gov/reports/inaction/diminishing/index.html

  8. The Trends are Troubling: Without reform, health care costs will continue to skyrocket unabated, putting unbearable strain on families, businesses, and state and federal government budgets. Perhaps the most visible sign of the need for health care reform is the 46 million Americans currently without health insurance - projections suggest that this number will rise to about 72 million in 2040 in the absence of reform. Learn more: http://www.WhiteHouse.gov/assets/documents/CEA_Health_Care_Report.pdf


Visit WhiteHouse.gov



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August 10, 2009

Talking Points for Healthcare Reform


Life Expectancy at birth (years) {{col-begin}}...
Image via Wikipedia


1. When you need life-saving care, private insurance companies only profit by denying you and letting you die. If you have payed your premiums on time all your life, you're as likely to be dropped by your private insurance company when you need life-saving care as you are to get treated. A public option gives you a lifeline.

2. Private insurance companies are spending over $1M a day to kill the public option by inventing phony citizen groups, and trying to scare the elderly about euthanasia and pro-lifers with abortion; they know the only way to kill reform is to get people of good conscience fighting, while they laugh all the way to the bank. They don't think very highly of our intelligence.

3. We pay more than any other country to be 24th in life expectancy: while the average Canadian family spends less than $2000 a year on health care with no waiting periods, the average American family spends $29,000 a year, waiting for private insurance companies to approve every procedure.

4. 14,000 Americans lose their health insurance every day; 46M are uninsured.

5. 18,000 Americans DIE each year due to lack of health care: THAT'S 50 A DAY.

6. Two-thirds of American personal bankruptcies are related to health care costs.

7. Businesses - particularly small businesses - cannot afford to provide health insurance for their employees under the current employer based private insurance system, and will be forced to either drop their coverage or go out of business unless a public option is passed.

8. One-sixth of all our government spending is on health care, twice as much as any other country spends out of its budget. Our nation pays $2.5 trillion for care costing $912 billion .

9. Every independent estimate says the public option will save us money, from saving 150 billion dollars (CBO) to saving 265 billion dollars (Commonwealth). The Congressional Budget Office estimates the current bill in the House would leave a 6 billion dollar surplus.

10. So - if you'd rather spend more taxpayer money, bankrupt businesses, AND pay $29,000 a year for your family's private insurance coverage in exchange for a policy that can be dumped the second you actually need it, then the current system is great for you. If you'd rather spend less, wait less, have less of a chance of dying, and want to remove the corporate bureaucrat from between you and your doctor, then a public option is the way to go. Right now, even if you're lucky enough not to be dropped by your provider when you need urgent medical care, your private insurance company can overrule your doctor's advice for life-saving treatment and only offer to cover something cheaper; a public option would remove that middleman and leave these decisions where they belong, between the patient and doctor.

via Daily Kos: State of the Nation.

How can the richest people in the world allow millions to be homeless and without health care. Fifty American's die every day!


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