ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Problems with the Health Care Reform Bill(s)

Updated on November 29, 2009

As the Bill Trundles through Congress

The House version of the Bill passed on Saturday, November 7, 2009. It is currently moving through the Senate. Just last week the Senate passed a resolution to open the bill to debate.

Bill Passage Steps
Bill Passage Steps

Senate Version in the Works

The biggest issues so far with the Senate version are the illegal immigrant restrictions (they will not be covered), increased taxes, whether or not to allow abortion, and whether or not to support a public option1.

Public Option The Biggest Obstacle
With such a narrow majority in the Senate every Democrat and Independent would have to vote for a bill that includes a public option. However, two independents including Joe Lieberman, have promised to join a Republican filibuster should a public option be included. Lieberman voted to allow debate on the bill, but made it quite clear that should the bill include such an option he will move to block the bill, siding with the Republicans in a filibuster.

Lieberman's stated objection is that the public option represents a "radical departure" from past government oversight of business. Such oversight typically involves targeted legislation and litigation; not an all encompassing bill.

1 Meaning a government run insurance plan.

Final Version Must be Approved by both Houses

As with all congressional law both the House and the Senate must come up with a bill both can vote yes on.

For that reason House passage is just one of four steps that must be completed before the bill becomes law. The Senate must pass a version. Then both the House and the Senate must combined and vote yes on a final version. Finally, the president must sign the bill for it to become law.

Problems with the Bill

Regardless of what version is finally passed certain provisions are likely to remain unchanged. Here's the list and the impact each provision will have on coverage.

Pre-existing Conditions
This is all well and good, but how many know that the provision itself will not actually take effect until sometime in 2013 in the House Bill or 2014 in the Senate version? Reigning in the insurance companies will not happen overnight.

The stated reason is to give insurance companies time to comply with the new provisions. But what's not stated, but quite obvious, is that this delay will also reduce the cost of the bill to the Federal Government. This is to be expected, in a way, since costs have been a major sticking point in both houses.

The net result, however, will be no guarantee that the currently denied will be able to get coverage anytime before 2013.

Coverage
Under the Senate version of the bill 94% of Americans (under the age of 65) would be covered; the House version covers 96%. This means that anywhere between 12% and 16% of Americans (does not include illegal immigrants who are not covered), will remain uninsured. Both bills will require Americans to buy coverage or face fines. The fines would be rolled into a federal pool of funds designed to help cover Americans below a certain income threshold.

Affordability
Many Americans are expected to stay with their employer sponsored plans. Those Americans who are self-employed will be able to buy insurance through a marketplace pool set up for that purpose. Some of those self-employed are expected to be subsidized by the government.

Lower income types will have substantial aid from the government, but those subsidies drop off drastically for middle-class Americans.

For example a family of four making up to $44,000 per year would expect to pay roughly $200 per month for coverage. A similar family of four making up to $66,000 per year would expect to pay $550 per month. That's quite a difference.

Younger Americans, who typically do not have many health problems, would also be expected to buy insurance or face fines. However, a provision in the bill will make it possible for young Americans under the age of twenty-seven (27) to remain on their parent's plan. However, this particular provision will not take effect until 2010.

Regardless the age differential will be substantially reduced. e.g. the insurance companies habit of charging younger Americans less will have to change in order for affordable coverage to be offered to older Americans. The net effect, of course, will be that younger Americans will see their premiums rise.

To offset this potential problem the Obama Administration has asked for a five billion dollar temporary risk pool. Unfortunately the Congressional Budget Office predicts this pool will be tapped out by 2011.

Cuts in Medicare
Cuts in Medicare payments to hospitals and other providers are expected to help defray the cost of insuring currently uninsured Americans. So yes, there will be cuts. Even so current Medicare benefits are not expected to be reduced. However, those who signed up for Medicare Advantage could see a reduction in extra benefits. These "extras" include lowered co-pays and lowered deductibles.


Prescription Drugs
Both bills offer cheaper prescription drugs.

Comments

Submit a Comment

  • billyaustindillon profile image

    billyaustindillon 

    8 years ago

    Good overview thanks for sharing

  • kartika damon profile image

    kartika damon 

    8 years ago from Fairfield, Iowa

    Ouch! It hurts! I guess will be putting all of our imaginary resources into another unnecessary war!

  • LiamBean profile imageAUTHOR

    LiamBean 

    8 years ago from Los Angeles, Calilfornia

    Thanks for reading Kartika. The only beneficiaries in the immediate future will be the insurance companies. "Is this the best we can do?" indeed!

  • kartika damon profile image

    kartika damon 

    8 years ago from Fairfield, Iowa

    Thanks for doing the research - pretty disappointing - with all that said, why bother?! To fine people who are already strapped to pay for insurance and then to delay prohibiting pre-existing conditions as a right to deny insurance until 2013? As Dennis Kuchinich says, "Is this the best we can do?"

working

This website uses cookies

As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

Show Details
Necessary
HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
LoginThis is necessary to sign in to the HubPages Service.
Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
AkismetThis is used to detect comment spam. (Privacy Policy)
HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
Features
Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
MavenThis supports the Maven widget and search functionality. (Privacy Policy)
Marketing
Google AdSenseThis is an ad network. (Privacy Policy)
Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
Index ExchangeThis is an ad network. (Privacy Policy)
SovrnThis is an ad network. (Privacy Policy)
Facebook AdsThis is an ad network. (Privacy Policy)
Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
AppNexusThis is an ad network. (Privacy Policy)
OpenxThis is an ad network. (Privacy Policy)
Rubicon ProjectThis is an ad network. (Privacy Policy)
TripleLiftThis is an ad network. (Privacy Policy)
Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
Statistics
Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)