If you want a giggle go to the post below this one. I had to remove it in order to post this important health care reform informtaion.
This information came from "Move On". The link was nearly as long as the article so I copied and pasted it. If you find things you either agree, or disagree, with please continue to contact your legislators. Go to the government site for their telephone numbers, addresses, and e-mail contact.
A handwritten letter is best, but time is of the essence. It only takes a minute to make a phone call and if you can't get through to the D. C. number, they all have local office telephone numbers you can call.
Here's Where We Are
The House of Representatives passed their bill last month. The Senate is aiming to pass its version before Christmas.
Overall, both pieces of legislation would do four major things:
- Create a "Health Insurance Exchange." The bills create a one-stop marketplace where people can choose from various insurance plans, including the public option. The details aren't set yet, but initially the Exchange would likely be open to the self-employed, people without insurance at work, and small businesses.1 The key with the Exchange is that it brings "the bargaining power and scale that's generally accessible only to large employers" to individuals—and with that, lower costs and better options.2
- Provide insurance to over 30 million more people. The House bill would expand coverage to 36 million people by 2019. The Senate bill extends coverage to 31 million.3
- Outlaw discrimination based on pre-existing conditions and gender. Insurance companies will have to stop denying coverage to people with "pre-existing conditions." And they won't be allowed to charge women more than men for the same coverage.4
- Eliminate coverage limits and price-gouging. The bills differ on some details, but in general would place limits on how much people have to pay for health care beyond their premiums. They both cap out-of-pocket costs and ban insurance companies from setting limits on how much health care they'll cover for a person each year.5
Of course, the devil is in the details, and much in these bills still needs work.
Here's what still needs to be fixed:
- Both bills leave millions uninsured. The House bill leaves 18 million without insurance in 2019; the Senate bill, 24 million. Neither comes close to the vision for universal coverage so many of us fought for for years. We'll all need to fight to continue to expand coverage in the bills this year, and in the years to come.6
- The Senate public option is weak, and conservatives are pushing to make it weaker. The public option is a core piece of reform that will create real accountability and competition for private insurance—and that's why it's at the center of such a huge fight. While the House bill creates a national public option, the Senate lets states opt out, denying their residents access to it. Plus, conservatives are working to weaken it even more. We're all going to have to fight hard for the strongest version possible.7
- Many reforms don't start quickly enough. While some pieces of reform go into effect right away, the larger structural changes are not scheduled to go into effect until 2013 (House bill) or 2014 (Senate bill). This includes the Exchange, the public option, and subsidies—the major ways coverage will be expanded.8
- Required insurance could still be too expensive for many. Both bills require virtually all Americans to have insurance. But the caps on how much we're expected to pay are way too high, and the subsidies are way too low. Many progressives are working to fix this, but it's going to be a significant fight.9
- Reproductive rights are severely restricted in the House bill. An egregious anti-choice amendment in the bill virtually prohibits anyone purchasing insurance in the Exchange from buying a plan that covers abortion—even if paid for with their own money. We need to make sure the final bill doesn't include this rollback of reproductive rights.10
- The Senate bill could discriminate against lower income workers. The current Senate legislation retains a version of what's called the "free rider" provision, which essentially penalizes employers for hiring lower income workers. This provision needs to be fixed before the bill is finalized.
There's a lot going on in these bills, and we're all going to need to be vigilant to ensure the good pieces end up in the final bill, and the bad ones are fixed. It's going to be a rocky ride. But if we fight together, we'll come out stronger in the end.
Thank you, as always, for everything you do.
–Justin, Adam, Amy, Anna, Annie, Carrie, Christopher, Daniel, Danielle, Eli, Emily, Gail, Ian, Ilya, Ilyse, Joan, Jodeen, Kat, Keauna, Laura, Lenore, Marika, Matt, Matthew, Melanie, Michael, Nita, Noah, Peter, Scott, Stephen, Steven, Susannah, and Wes
P.S. Check out more about the House bill here and the Senate bill here or here, and see what the impact of reform would be in your state here. If you want to read the full bills, for the House, click here or here (PDF), and for the Senate, here or here (PDF).
Sources:
"Senate Health Bill Improves Employer Responsibility Provision," Center on Budget and Policy Priorities, November 19, 2009
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