Tuesday, March 23, 2010

Top Ten Questions about the Healthcare Bill

As most of us are well aware, the President will be signing a new healthcare bill into law today. Here's my top ten questions about it as we move towards the future. If you think you know the answers, please feel free to chime in :)

10. When will I be able to get private insurance on my own?

9. How costly will my insurance be?

8. Will it be as good as my current insurance that I have through my mom?

7. Will my doctors pay be decreased?

6. Is there a lifetime max?

5. I'm sure there is something else, but I forgot to put a #5 in the original blog, thanks Piper!!

4. Will there be longer waits to see doctors and to get into the hospital?

3. Will care become better, worse or stay the same?

2. Will insurance profits go up or down?

1. Ultimately, who is the buck getting passed to to cover all of this?

What are your questions?

Comments (11)

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Ronnie, the CFF website has been following this too, and looks like they've answered some of these questions...check it out..
http://www.cff.org/aboutCFFoundation/NewsEvents/0...
I know for question #6 that the bill will have no caps or lifetime max on how much the insurance companies will pay.
Besides the elimination of the lifetime cap, I believe the bill indicates that insurers will be unable to deny coverage based on pre-existing conditions, which I think is pretty awesome.
#10: 2014, although you will be able to enter a "high-risk pool" earlier than that -- likely by the end of this year.
#9: No one knows the actual numbers right now. Let me put it this way: as an adult with CF if I went to purchase my own private plan under HIPAA I would be paying about $3,000-$4,000 a month for basic coverage. This will lower that.
#8: I don't know what your current plan is, what it provides for, or how you are still covered by your mom's insurance at age 30. You will be able to shop around for different coverage plans under this bill. However, you can keep your current insurance -- at a minimum until 2014.
#7: The AMA and many doctors/nurses groups supported the bill. My doctor supports it. Talk to your doctor about his/her thoughts and what it means for healthcare professionals.
#6: Nope, this is part of what the bill eliminates.
#5: You missed a number ;)
#4: Probably not, although this is one of the concerns people have. There will be more people able to access to care. When more people are in line, sometimes wait times increase. But ask yourself: is it fair to continue in a system where so many people have no access simply because those of us who do don't want to deal with having more people in the waiting room, so to speak? I personally would say no. There may have to be some prioritizing of certain needs if more people are able to get care -- think triage like in the ER. Again, no one is sure how this will actually play out, and who are we to say that someone shouldn't be able to be in line for an MRI just b/c our appt might be pushed back? Sorry, I'm not meaning to say people who have this concern are heartless (I totally get wanting to look out for your own interests), but to me it's a moot argument. I wouldn't say that scholarships for colleges should be eliminated simply b/c it puts more people in the admissions pool!
#3: Again, some people are worried that care will decrease b/c people will be concerned about cutting costs. I don't see this happening. First of all, we're not going to a public system. Second of all, even if we were, I know so many people who feel their care in countries with public systems is BETTER, but it's up for debate. Third, I believe that healthcare access is so important -- I want the greatest good for the greatest number of people. People with CF who don't have insurance (I know some) are currently getting NO care. I can't stomach that. The bottom line is that your quality of care will most likely depend on your provider, just as it does now.
#2: More people will be insured, but the unfair premium hikes (without notice) and cancellations of high-risk policies will be unlawful, so who knows? Insurance companies won't go out of business under this plan.
#1: Well, ultimately this plan is placing the responsibility for healthcare with the community. So some people, particularly those in high tax brackets, will be paying a little more to help cover those who will pay a little less. BUT, this already happens, and at exorbiant mark-ups. People without insurance currently have to use the ER, which tends to work in one of 2 ways: 1) either they get no preventative care and wind up with major issues that could have been caught earlier, therefore requiring expensive treatments, or 2) they come into the ER with a slight cold or cut simply b/c they can't see a regular doctor, and then the costs are much higher than a simple office visit. Either way, guess who shoulders the cost? Either the government, or the hospital. The government pays for a certain amount, but not enough, so the hospital passes its losses on to other patients in the hospital by raising its rates for services. So now you have people like us, who are in the hospital often, being charged more, and people without insurance who aren't completely poor are really suffering b/c they go to the hospital and have to pay out of pocket for these ridiculously high priced services. Not good. This is a much more fair way to distribute costs, in my opinion.

Note that all of the above are my own personal opinions. I'm not perfect, I do have political leanings and biases just like everyone else but: 1) I've read most of the bills, 2) I try and watch varying news reports (i.e., I'm not all MSNBC or Fox News, and anyone out there who thinks these news sources aren't biased -- both of them -- is living in total denial), and 3) I try and be both realistic and somewhat intelligent when I process this information. Reasonable and very smart people could disagree with me, of course, and I don't think people on the other side are out to screw over people without insurance. I'm totally disappointed at the immature and frankly unacceptable rhetoric that has been involved throughout this debate, from both sides in many cases. I'm also disappointed at politicians who refuse to admit that this bill has provisions that they themselves have supported in the past and now just claim that it's completely non-partisan or that they had no voice. Just my 2 cents (or more like 2 dollars, given the length!).
1 reply · active less than 1 minute ago
thumbs up piper!
MJ SeaSalt's avatar

MJ SeaSalt · 784 weeks ago

hm... my problem is that - although it all sounds too good to be true, where is the money coming from? And, can they limit what we receive as far as treatment and meds go? I have medicaid and they refuse to give me some of my meds...
As I understand it (and please note that economics is not my strong point), the money is going to come from shared costs -- which fundamentally means that yes, certain people (esp the wealthy) will be paying more to help cover those who pay less. Not all of the costs though, like they do now when those people are forced to resort to the ER for care, because everyone will be paying in for insurance. Also the insured and the wealthy won't be paying out the nose for people who simply CHOOSE not to get insurance b/c they feel invincible and then whoops, end up in the ER with some serious ailment that could have been prevented and/or treated earlier. Right now, all of us pay for them. And, of course, we also cover people who become disabled (medicare) or are indigent (medicaid)...as we absolutely should in my opinion.

The good news is that this might help you come off of medicaid if you're dissatisfied, or at least purchase secondary insurance. If you are unable to afford an additional insurance beyond your medicaid even under the new system, my understanding is that your coverage won't change much, if at all. Medicare and medicaid are not being shut down under this system! Medicaid, in particular, is state run, and will not be affected by this bill other than its expansion to help cover more people. The only affect this bill should have on your care is the possible introduction of additional/new options, depending on your financial status. Unfortunately, since medicaid is income-based and designed to cover those who can't otherwise afford insurance, most people on medicaid will probably find it better to remain where they are I'm guessing. People on Medicare due to a disability, however, will be able to potentially shop around for private insurance without paying $3,000-4,000 in premiums each month.
great, educated answers Piper! thank you!
I hate to sound negative, and I really do take your opinion seriously, but here's my opinion on the health care...First off, I am "healthy" and have no insurance. If there is no "cap" on private insurance, the companies will go out of business for "high risk" people, which I believe gives you better care. A lot of people say insurance companies are in it for the money....How else can they pay the Dr.'s and hospitals, if people aren't paying their premiums? It's the same as if the government ran it...WE are in debt, yes the wealthy will pay more in taxes to cover the middle/low income health care, but it will still cost the government MORE, which we are already in debt so it doesn't make sense to me. Medicare and Medicade that are government run, working off of tax payers is not good now, and will only get worse. More Unemployment=less taxes being paid to the goverment. How can they pay the Dr.'s and hospitals? I can almost guarantee their will be more lay-offs in the medical field...It's already happening where I live in the medical field...For example, having the custodians or RN's at the hospital cleaning up and making beds instead of the CNA's they've been laying off. About #4....Basically EVERBODY has healthcare already!! There is Medicare,Medicade, health departments that do financial screenings based on your income. Like I said, I do not have insurance but if I have a bacterial disease I can go to a health department for cheap or free depending on my income and get antibiotics..How many "poor" people have cell phones or cable or internet?! It's not a NEED, they can "prevent" ER visits! AND pretty much, most hospitals won't turn an emergency down! I personally pay $31.39 a month for an Accident policy incase I need to go to the ER if I brake a bone, or need stitches ASAP. A PA told me the other day she got out of General Practice because she was so disgusted with all the "preventable" diabetes and obesity...Does the Health-Care exclude that?! That costs tax-payers sooo much money! And may take away money for people who REALLY need it, like CF patients or other people with an un-preventable disease! MY personal experience with people from countries with "universal" health-care...And I work with the public..The people that had non-life threatening conditions are happy with it, Canadian joint replacements, etc...But I have a client who's family still lived in England and flew there to fly with her brother to South Africa so he could get his "life-threating" heart surgery done, that he paid for. I GUARANTEE the people that never had insurance before that went to the ER for a slight cold or whatever will now be going to the DR. for anything now if it doesn't cost them anything, so the wait will be LONGER and more UN-NESSARY! Anything government run will f*&# us! Oh, and correct me if I am wrong, but isn't this bill exempt from some people that passed this bill?

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