What’s Next for Health Care
On Tuesday, America voted to reelect Barack Obama for another four years in office. It was a momentous victory, not only for progressives, but for the health care justice movement.
With the reelection of President Obama, the direction of our nation’s health care system has become clear: Obamacare will be implemented, the Medicaid safety net will be strengthened, and Medicare’s guaranteed benefits will not be undermined. But the path ahead will not be free from challenges, and as we turn our attention toward achieving our goal of affordable, high-quality health coverage for all Americans, we must prepare for the challenges ahead.
We have been given an unprecedented opportunity to enroll tens of millions of uninsured Americans in new health coverage, but many people are unaware of these new opportunities. We must work together to ensure that people know not only what new coverage opportunities will be available to them come January 2014, but that there is an enrollment infrastructure in place to make signing up as easy as possible.
In the next few months, your governors, if they have not done so already, will decide whether to expand their Medicaid programs to cover more low-income adults. Expanding Medicaid will not only benefit state residents, who will have better access to health care, but with the federal government providing the bulk of the funding for the expansion, it will also be good for state economies. But the guaranteed availability of this funding is crucial to governors who are deciding whether to expand their programs, so it is important to protect it during the upcoming federal budget debate.
Finally, now that we have laid the groundwork for affordable health coverage, we must start thinking about how to improve the quality of the health care system for consumers. We need a health care system that delivers the right care at the right time for patients. If we can improve the quality of care that consumers receive, then the overall health care system will be stronger and more effective.
On Tuesday night, in front of a packed crowd in Chicago, President Obama spoke to his supporters about the path ahead:
As it has for more than two centuries, progress will come in fits and starts. It's not always a straight line. It's not always a smooth path.
We must remember this as we move forward with our work—it’s not always going to be smooth, it’s not always going to be easy, but we will succeed.
Comments
Ramon Vega
sarah
Margaret Breed
Chris
The alternative is that in years to come, your company can continue paying for employee/family health coverage - anywhere from 5 to 20 thousand per year. OR they can pay the government 2000 per year as a "penalty" for not offering coverage. Now, if you were the business owner/CEO what option would you take...? So how many more people are going to lose competitive private coverage .... not sure this is going to help the general population.
Faith
bmbarbe
Chris
Minnesotadeerhttr
In Minnesota we have a State level plan to pay for health insurance/dental insurance for folks that can't afford it. It works and nobody is overly taxed or forced into the program. That is freedom. It is socialism when folks are forced to enroll in any government program. It is not freedom. That is the problem with Obama care. It takes away a persons freedom. It is the government telling you what to do. That is not good for America. There will be consequences in the future for everyone. Socialism never works as well as freedom. Never. Folks are going to learn that the hard way. I hope the country survives.
Linden
Stephen
Ed AlmostDone
michael
michael S
Big B
Big B
Frisco
Screwed
Nate
I had a minor motorcycle accident and had my foot examined in an emergency room a while back with no insurance. For 1 x-ray was charged about $600 (I later found a specialist that makes a profit doing them for $30). I never saw a doctor just an assistant which cost about $1500. I declined morphine and asked for just a tylenol which I was charged $100. Before they examined me I asked what the expected cost would be, noone could tell me. By the end of my visit someone from finance came down and told me it would probably be roughly $1500. The actual bill for that one visit ended up over $3500.
The healthcare system is broke by taking advantage of people through the use of price gouging. Insurance companies know the cost of services and are only willing to pay specific rates.
I had a persistant cough that lasted over 30 days and my doctor suggested a chest x-ray. I did a walk-in at the local hospital and talked to them about pricing. I first priced it without medical insurance and they said it would be $700 (cash up front), but I would get sent additional bills from 3rd parties and they did not know what those would be. I then had them price it through my medical insurance and the price was under $50.
If I am concerned about ObamaCare it is not that it exists. My biggest concern is that we do not have a public (non commercial) option and that it does not go far enough in protecting patients rights. Hospitals should not be allowed to make up rates for stuff after the medical care is provided. Hospitals should have a cap of no more than 200% markup on any service provided or lose their non-profit status which allows them to avoid taxes on the money they steal from us.
Skip Koeller
Teresa
Mike Mackey
UNFUNDED LIABILITIES Social Security and Medicare:
The figures in this report come from two publications: The 2009 Annual Report of the Board of Trustees of the Federal Old-Age and Survivors Insurance and Federal Disability Insurance Trust Funds (2009 Social Security Trustees' Report) and The 2009 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds (2009 Medicare Trustees' Report). Figures are presented as the net present value (NPV) of future deficits, which compares the value of a dollar today to the value of a dollar in the future, based on expected inflation and interest rates. The Social Security and Medicare trustees calculate the NPV of the programs (1) over the next 75 years and (2) if the programs were to continue forever (infinite time horizon).
According to the US Census Bureau, there were approximately 117.2 million households in the United States in 2009 (US Census Bureau, Table AVG1). The NPV of Social Security's unfunded liability over the next 75 years is $5.3 trillion, or approximately $45,000 per household (2009 Social Security Trustees Report, p. 61). The NPV of the unfunded liability over the infinite time horizon is $15.1 trillion, or approximately $129,000 per household (id. at 62).
Medicare has two main components, and the Medicare Trustees' Report tracks figures for them separately. Hospital Insurance (HI), or Medicare Part A, helps pay for medical care for the elderly and disabled. Supplementary Medical Insurance consists of Part B (care for the elderly and disabled who have voluntarily enrolled), Part C (private “Medicare Advantage” plans), and Part D (subsidies for prescription drugs). Due to the automatic funding of the other Medicare programs, the HI program is the only one with an unfunded liability. The NPV of the unfunded liability of HI over the next 75 years is $13.4 trillion, or approximately $114,000 per household (2009 Medicare Trustees Report, p. 69). The NPV of the unfunded liability of HI over the infinite time horizon is $36.4 trillion, or approximately $311,000 per household.
The USPS in October of 2012 reached it's borrowing limit of 15 billion dollars for the first time in history, maybe you should get your news from someplace other than Huffpo or MSNBC.
Remember a mind is a terrible thing to waste!!
Families USA
dizzy
Sherry Hays
Stop Crying
Stop Crying
andreasjva
And to those of you who think a single payer system is a better option, think again. Insurance IS NOT THE PROBLEM. The problem is the soaring cost of healthcare, and adding rules, regulations, laws, bureaucrats, and bureaucracy only compounds the problem. The proof at this point should be apparent. It doesn't work.
Healthcare costs are the issue, period. I know you liberals want to hold onto the ACA as some sort of social victory, but you're holding onto a complete and total failure of our political system, and the bill itself. We were sold on the concept that the ACA would reduce deficit, and lower costs. Guess what, it didn't happen. It's a complete failure. There's one basic fact that remains, and this is why it failed. You cannot spend your way to savings, and that's the premise behind the ACA. More government, more bureaucracy, more people spending money on insurance, more penalties, more grants, more taxes, more, more, more. This is like buying a second car, because you can't afford a half tank of gas in the other.
We cannot spend our way to savings. This is exactly what this bill amounts to, and we are now just seeing the catastrophic results of that ignorant mentality.
This is going to get worse. Much worse. It is going to raise taxes, premiums, debt, and deficit to levels we can't even understand at this point. This bill was not a victory for Americans, it's a total failure of our political system.
I do know the approach that should have been taken, but it's too much to explain in a comments section.
andreasjva
Racist people like you make me sick. You're too ignorant to even discuss the problems with this bill in an intelligent manner.
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