What’s Next for Health Care

28 Comment(s) Posted by Kate Blocher

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.

 

 

 

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Comments

  1. Ramon Vega's avatar

    Ramon Vega

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    Because of this policy my hours have been cut. I am only allowed less than 30 hours a week. Which means I will make less than $800 a month. This is so the company I work for won't have to provide me with health care. Someone allowed a loophole for employers Not to have to provide health care. Appears this was done on purpose.
  2. sarah's avatar

    sarah

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    this is bs...my job when i had started stated that if i was to get a job at one of our competitors i would loose my job... now with this obamacare crap we all have to work together to make ends meat...i have 3 kids and already live back with my mother because i couldn't make it working a minimum wage job and raising my kids as a single mom and already on foodstamps not by choice! and now its just a matter of time that we may loose the place we are living in because of my hours being cut and my mother who is on ssi and cant really do much had her checks cut as well! ...i hope these people who voted this stupid man back into office are happy! way to go!!!
  3. Margaret Breed's avatar

    Margaret Breed

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    It seems as though people need someone or something to blame their hardships on even if it is justified. The Republicans are good at scare tactics, the Gov. should do more to make sure some of these people know the truth.
  4. Chris's avatar

    Chris

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    I agree with Ramon.... look at line DD(12d) on your 2012 W-2 forms. See that - it's not currently taxed. Under Obama care - it will be taxed in the future.

    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.
  5. Faith's avatar

    Faith

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    My low paying job doesn't provide healthcare! I pay almost $450 a month for a very minimum healthcare policy. I can not wait until I can sign up in an exchange for a more affordable, much better health care plan. All Americans will have the opportunity come Oct. 1, 2013 to sign up for a plan that works best for them. And come Jan.1, 2014 all Americans will finally be covered! Thank you President Obama from the millions of Americans who have no insurance!
  6. bmbarbe's avatar

    bmbarbe

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    I agree with Thomas somewhat, I mean really people are loving Obama just like they loved Hitler. Obama is doing the same thing that Hitler did, Gun control, government help, and much more that people don't know about. I understand that some people don't have insurance because they cant afford it, but you do realize its not going to be free. Your going to have to pay for it, nothing is free. People should read EVERYTHING instead of just seeing "FREE". I am just saying that, that's what is wrong with America today. We want everything for free and nobody wants to work for it anymore. I work my butt off and im getting taxed so hard right now, to pay for everyone that sits on their butt all day doing NOTHING!!!! I hope whoever you are, you are enjoying the working classes money! :)
  7. Chris's avatar

    Chris

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    I know that I'm going to wait for a new insurance company to start up so my rates don't rise because of all of the people at any older insurance company that has people with pre-existing conditions. Those companies are obviously going to raise their rates for everyone to cover the cost of those with pre-existing conditions. I'm all for everyone getting health care, but don't think I should pay more to an insurance company because of someone else with a pre-existing condition. What I see happening is a lot of new insurance companies starting and some older companies collapsing.
  8. Minnesotadeerhttr's avatar

    Minnesotadeerhttr

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    I am retired. Worked and paid into SS for over 40 years. Paid into a retirement fund also. So did my wife. We are not well off but we are comfortable. We worked, we saved, we planned and we have health insurance. Not every one can or is able to do what we did in this society. That does not make them lazy. Health care is a major issue for those folks and I understand. I have no problem paying additional taxes to pay for such programs. It is the right thing to do.

    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.
  9. Linden's avatar

    Linden

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    I run a business and find it difficult to get healthcare. I have a college degree and struggle. Everything is hard it is part of life. If everyone and everything could be the same there wouldn't be any progress. UNIVERSAL health cares gives everyone a shot at longevity of life. Doctors are suppose to help the well-being of others. If you limit who gets help and impose limitations that are not affordable, people die, no patients, where are you gonna get profits doctors?
  10. Stephen's avatar

    Stephen

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    Obama said 2 years ago that Healthcare costs would drop by $2500 per family by now. Just the opposite has happened. They have gone up by $2500 per household! Employers are just going to drop their employee's insurance and pay a "penalty" that is much cheaper. Obama is a filty liar and his followers are deluded idiots.
  11. Ed AlmostDone's avatar

    Ed AlmostDone

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    These comments are great! It really shows the diversity that makes up this wondeful land. I am I guess what they consider part of the bulge in the baby-boomer bubble. It seems like I have been through so many bubbles, tech bubble, housing bubble, real estate bubble... for those that remember Lawrence Welk, I feel like a regular on his show. I am just hitting 60, I have paid into SS all my life and started working at 14 delivering Newspapers, and during the summers, setting up carnival rides for Amusements of America - my dad had to drive me. I've been working ever since, event through college. And, there are a lot more in my "baby boomer bubble," about my same age or a bit older. We will be a strain on this economy, though I hope to be able to continue working. I am not real clear on what exaclty is socialism and what is not, I am however grateful Social Security exists, hope it continues, and will be glad Medicare is around in a few more years anyway. Afordablke Health Care Act, I guess we had to do something, the world is changing fast. While I was blessed to have had, and still continue to have, a job and some benefits (pension was discontinued, paid sick time gone, acations reduced, health insurance costs about a weeks pay a month and this befor ObamaCare) I do see this trend continuing and feel for the young ones only now entering the workforce. I do not know if ObamaCare is right, shoot I do not even know if unemployment is right, I just know that it does help people that need the help. I like to think of this country as a god-loving, christian-based, help-thy-neighbor, place to live, maybe I am just a bit too old. I ain't financially loaded, but I think I too can give a little more if it does make a difference. I think given time, it just might. I really hope my generation, that started with "Free Love" and drifted into "Corporate Greed" can find away to leave something good behind. Like Social Security....
  12. michael's avatar

    michael

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    well thank you obamacare,its great for all americans,what a load of bullshit that is as of now my wife's m.s. treatment will no longer be covered by insurance because goverment guidelines do not, so thank you president obama i hope when she now becomes disabled the goverment is there to save our house and pay my bills because sorry i don't have 2k a month to pay for it.
  13. michael S's avatar

    michael S

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    It's amusing how everyone blames Obama. If a job cuts your hours to prevent paying for healthcare, is that not the jobs fault? The job chose to cut your hours, not Obama. And what about congress and the Supreme Court? They could have prevented Obamacare from being passed. And those attacking people for voting for Obama need to realize that the electoral college chooses the president, not the public. And lastly, when Obama becomes America's dictator and America has it's own Holocaust, you can compare Obama to Hitler. Not when he is part of a government of five hundred and forty-five people that decides to try something new.
  14. Big B's avatar

    Big B

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    ObamaCare is going to be a sham. I am 62 years old and with the Independent Payment Advisory Board (IPAB), better known as "death panels", I will be lucky to see any serious health care benefits at all. For me it will be a pain pill and a wheel chair, because the Federal Government will not be able afford life saving procedures for the elderly. The United Kingdom and Canada are currently turning away from Government Run Health Care and returning to a private sector system which works best. The United States has the best health care system in the world, why do we want to screw that up with government? Social Security: BROKE Post Office: BROKE Amtrak: BROKE Medicare: BROKE Medicaid:BROKE The Federal Government: BROKE! It's unbelievable; thinking the Federal government can operate health care. Health care which is run by the Federal government will become nothing more than another Federal Government failure like the Department of Education, the Department of Energy and HUD. We need less government in our lives, not more, and if you think healthcare is expensive now, just wait until it's free! If you want good, affordable healthcare, get the government completely out and let the private sector have it.
  15. Big B's avatar

    Big B

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    Michael S, From start to finish, you are SO wrong and out-of-touch with your comments that it's embarrassing. I don't have the time to address all of the wrongs in your brief comment. You don't even know how many members reside in congress. Find a library and use it.
  16. Frisco's avatar

    Frisco

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    OBAMA-CARE is the final nail in the US economic coffin... IT IS DESIGNED TO FACILITATE AND HIDE A EUGENICS FORM OF DEPOPULATION ..."A THINNING OF THE HERD" Very SAD PEOPLE DON'T KNOW THEIR HISTORY... Perhaps their ignorance stems from all those years in bad government run "schools"? The Wiemar Republic (Post WWI Germany) went through HYPER INFLATION and that is the main reason Hitler was elected. HITLER WAS DEMOCRATICALLY ELECTED! by a HUGE MAJORITY! The US will experience the same fate of hyperinflation..... THE INFLATION HAS BEEN "PRINTED" ALREADY! It is just a matter of time before it gets expressed in UNTHINKABLE rising prices. The inflation problem will also get compounded by other creditor nations dumping their hoarded dollar reserves on the market or buy using their reserves to buy up our companies, institutions, commodious, technologies and perhaps whole industries... THE GOVERNMENT WILL NEVER BLAME THEIR FAILED POLICIES... FOR THE DISASTROUS DEBASEMENT! WHO WILL BE THE PATSY THIS TIME, IMMIGRANTS? EXPECT TO SEE MAJOR PRICE INFLATION LATE SUMMER EARLY FALL 2013...JUST IN TIME FOR BO-CARE ENROLLMENT! Food and other things you can't do without are the first to rise in price. EXPECT NIXON/CARTER ERA GOVERNMENT INTERVENTION(PRICE CONTROLS, RATIONING, CURRENCY CONTROLS) CAUSING SHORTAGES OF EVERYTHING(food gas water HEALTHCARE! etc) Also what people don't seem to understand. Ironically the world gets wealthier as we get poorer... People are delirious to think the US economy is the engine of the world, those days are long gone...The US mainly exports inflation(dollar hegemony) and garbage-waste as a byproduct from consuming 80% of the worlds production yearly... Considering the federal Government has 80 TRILLION!! YES 80 TRILLION!! in UNFUNDED liabilities PLUS 16 trillion OR SO in national debt and another few trillion in trade deficient...not to mention a huge amount of state debt, personal debt... one must wonder why the LAST TRUE viable sector of the US economy had to be taken over by the government...WAKE UP PEOPLE! THIS IS VERY SERIOUS! I may not have is perfectly right but COMMON SENSE!
  17. Screwed's avatar

    Screwed

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    What you all complaining about. He has been upfront with all his comments about his programs. He is going to steal from the wealthy and give to the poor. I have seen my premiums double and my deductible double. Does this really surprise any of you, The government runs thing perfectly just look at the IRS tax code and you will see what is coming with obamacare.
  18. Nate's avatar

    Nate

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    I had horrible expensive health insurance that covered nothing. Now I have horrible expensive health insurance that covers preventative care.

    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.
  19. Skip Koeller's avatar

    Skip Koeller

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    Big B, from start to finish, you are SO wrong as to be almost painful. There ARE 545 people in government as Michael S points out: (1) President (9) Supreme Court Justices (100) Senators (435) Representatives = 545. Duh! Math is a real mother. You should learn it. Then take some time to do some actual research. The US DOES NOT have the best health care system in the world and neither medicare nor the Post Office are broke. You are simply regurgitating "facts" from the right-wing echo chamber vis-a-vis El Drugbo, Insannity Hannity, Newsmax, et al. Find some real sources before you come on here with your verbal diarrhea for Christ's sake.
  20. Teresa's avatar

    Teresa

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    Can someone tell me what this bill means for those of us already insured? I am insured through my husband and would like to work more than the 28 hours a week my company is allowing. Is there something in the mandate that states that I 'do not count' in this whole scenario.
  21. Mike Mackey's avatar

    Mike Mackey

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    Skip my friend just keep drinking the kool-aid!

    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!!
  22. Families USA's avatar

    Families USA

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    Teresa - If you are insured through your husband, you should be able to keep your insurance with the new law. If that is still unaffordable, you will be able to then shop for coverage in the new health insurance marketplace. To learn more check out www.healthcare.gov/marketplace.
  23. dizzy's avatar

    dizzy

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    Bmbarbe: Hitler did gun control and government help? Wow! I love how you rewrite history to back up your claims, except that you are talking total bs!
  24. Sherry Hays's avatar

    Sherry Hays

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    Some of you are not very smart. Obama is lying to everyone in this country. He has not been upfront from the beginning. Obamacare will not benefit everyone. Everyone that is over 65 will not get the medical attention that they so deserve. They will be sent home to die, this is the president that everyone wanted, now we are getting what is coming to us. I have parents over 65 and I want them to live as long as possible. I do not want to see them suffer and they shouldn't have to. If they are in pain they should be able to get medicine to help with pain. Under Obamacare they will not get it,it will go for someone that is younger. I just have one more to thing to say, I did not vote for this president, he is not for the people of this country and what we use to stand for, what happen to us.
  25. Stop Crying's avatar

    Stop Crying

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    The rich has been getting richer while the poor has been suffering. Now that you see how it feels you want to cry? What's wrong with health insurance? you should be insured. Common sense shows that you pay more at hospitals and doctor's offices when you DO Not have insurance. You greedy pigs should really be thanking Obama for opening your eyes to what impoverished Americans not only have suffered for years, but have dealt with for decades.
  26. Stop Crying's avatar

    Stop Crying

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    The rich has been getting richer while the poor has been suffering. Now that you see how it feels you want to cry? What's wrong with health insurance? you should be insured. Common sense shows that you pay more at hospitals and doctor's offices when you DO Not have insurance. You greedy pigs should really be thanking Obama for opening your eyes to what impoverished Americans not only have suffered for decades, but have dealt with. My grandparents had middle class jobs before retirement and they have no problems getting optimal care at their doctor's office. You people just don't like Obama because he's "Black". Therefore, you wouldn't like anything he proposes. It's sad that you racist pricks still exist in 2013 where almost every person on this planet has at least one drop of "Black" blood running through their viens.
  27. andreasjva's avatar

    andreasjva

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    What really puzzles me is the emphasis on health insurance. Insurance has never been, and will never be the problem. Insurance is a derivative product, who's cost is derived by the cost of healthcare. I don't care how many more customers insurance companies get, it means nothing to the cost of insurance. It's going up, period. The ACA has already failed, and it isn't even in full implementation. It was based on a lie, and we're paying for that lie.

    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.
  28. andreasjva's avatar

    andreasjva

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    @ Stop Crying..

    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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