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Bill does NOT make Private Health Insurance Illegal!
There is talk going around that the Health Care Reform Bill makes Individual Private Health Insurance illegal. I believe that IBDeditorials.com originally posted this hooey and it has circulated around the conservative talking sites like the new gospel.
Please take note of how all the articles don't tell you that the bill is online as H.R. 3200 and the line they quote is in Sec. 102 of the bill.
They quote H.R. 3200 Sec. 102 (a) (1) (A) - "IN GENERAL- Except as provided in this paragraph, the individual health insurance issuer offering such coverage does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of Y1."
Which, taken alone, could be scary and might support their claim. However, taking note that Sec. 102 (a) is "Grandfathered Health Insurance Coverage Defined", it kind of throws their whole claim right out the window of credibility.
Here is the full section 102 (a) (extra emphasis is mine, refer to http://thomas.loc.gov for the full text of the bill)
SEC. 102. PROTECTING THE CHOICE TO KEEP CURRENT COVERAGE.
(a) Grandfathered Health Insurance Coverage Defined- Subject to the succeeding provisions of this section, for purposes of establishing acceptable coverage under this division, the term `grandfathered health insurance coverage' means individual health insurance coverage that is offered and in force and effect before the first day of Y1 if the following conditions are met:
(1) LIMITATION ON NEW ENROLLMENT
(A) IN GENERAL- Except as provided in this paragraph, the individual health insurance issuer offering such coverage (IE `grandfathered health insurance coverage') does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of Y1.
Not tackling any other claims, merits, flaws or anything else about the Health Care Reform, the articles shouting about the bill making Private Insurance illegal are a load of crap.
:::: Further Explanation :::::
Section 102 is laying out the requirements for Grandfathered Health Care Coverage. This means that the text refers to what an Insurance Provider must comply with in order to keep current plans from falling under the Bill's requirements for Insurance.
Your current insurance will not be required to meet the Bill's policies as long as they don't enroll new people, start charging you a lot more or change any of its terms or conditions.
If for some reason you change insurance providers or re-work your insurance, the New Insurance Policy will have to comply with the policies and requirements of the Bill.
Again, "does not enroll any individual in such coverage if the first effective date of coverage is on or after the first day of Y1." refers ONLY to keeping a policy's status as "Grandfathered" or Immune to the requirements of the Bill. It does NOT apply to New Policies.
:::::: Getting off original topic a bit ::::::
What it DOES do is make New Policies participate in an Exchange :
Sec. 102 (c)
(1) IN GENERAL- Individual health insurance coverage that is not grandfathered health insurance coverage under subsection (a) may only be offered on or after the first day of Y1 as an Exchange-participating health benefits plan.
Title II, Sec. 201
(a) Establishment- There is established within the Health Choices Administration and under the direction of the Commissioner a Health Insurance Exchange in order to facilitate access of individuals and employers, through a transparent process, to a variety of choices of affordable, quality health insurance coverage, including a public health insurance option.
The Bill goes on to list a lot of requirements for New Private Health Insurance Policies.
Such as :
SEC. 111. PROHIBITING PRE-EXISTING CONDITION EXCLUSIONS.
SEC. 112. GUARANTEED ISSUE AND RENEWAL FOR INSURED PLANS.
SEC. 113. INSURANCE RATING RULES.
SEC. 114. NONDISCRIMINATION IN BENEFITS; PARITY IN MENTAL HEALTH AND SUBSTANCE ABUSE DISORDER BENEFITS.
SEC. 115. ENSURING ADEQUACY OF PROVIDER NETWORKS
SEC. 116. ENSURING VALUE AND LOWER PREMIUMS.
AND
SEC. 122. ESSENTIAL BENEFITS PACKAGE DEFINED.
(b) Minimum Services To Be Covered- The items and services described in this subsection are the following:
(1) Hospitalization.
(2) Outpatient hospital and outpatient clinic services, including emergency department services.
(3) Professional services of physicians and other health professionals.
(4) Such services, equipment, and supplies incident to the services of a physician's or a health professional's delivery of care in institutional settings, physician offices, patients' homes or place of residence, or other settings, as appropriate.
(5) Prescription drugs.
(6) Rehabilitative and habilitative services.
(7) Mental health and substance use disorder services.
(8) Preventive services, including those services recommended with a grade of A or B by the Task Force on Clinical Preventive Services and those vaccines recommended for use by the Director of the Centers for Disease Control and Prevention.
(9) Maternity care.
(10) Well baby and well child care and oral health, vision, and hearing services, equipment, and supplies at least for children under 21 years of age.
Again, PLEASE go and use http://thomas.loc.gov to look up and read the Full Text of H.R. 3200 and the OTHER healthcare bill currently in the news, H.R. 676
All I am saying is Don't Believe Pundits!! Check for yourself!!!
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Most RecentMost Recommended Comments (41)
at 19:08 on July 16th, 2009
What I find VERY funny is that H.R. 676 (Universal Health Care bill) DOES make it illegal for Private Health Insurance to sell "duplicate" insurance:
SEC. 104. PROHIBITION AGAINST DUPLICATING COVERAGE.
(a) In General- It is unlawful for a private health insurer to sell health insurance coverage that duplicates the benefits provided under this Act.
(b) Construction- Nothing in this Act shall be construed as prohibiting the sale of health insurance coverage for any additional benefits not covered by this Act, such as for cosmetic surgery or other services and items that are not medically necessary.
But, it has more sponsors!
at 19:23 on July 16th, 2009
Thanks for your article and your explanations. sometimes articles are written to provoke folks to read the bill as you seem to have. The title of my article was provocative and designed to initiate discussion. There indeed are provisions in the bill that would compel enrolling in the Govt program based on several scenarios.
at 04:37 on July 17th, 2009
Sure, the coverage you have now may be grandfathered in...just as Obama said...If you like your health coverage, you can keep it. But what happens if your employer stops offering your health insurance benefits? What if you don't want the public insurance option? Would you be able to opt out of the public option and purchase an individual policy? It seems as though you would be stuck with the public option...like it or not.
at 07:56 on July 17th, 2009
From reading the bill, Anm, all of the Private Health Insurance companies will be required to participate in a new Health Insurance Exchange (kind of like the Securities Exchange? Stock Exchange?).
Companies or Individuals will go to the Exchange to compare and price policies offered by Private Insurance Companies and the new Public Option. Then purchase their coverage that they chose from among the many participating options.
Will non-participating options be available? Not sure, but I don't think so. Its kind of like in order to purchase Stocks, you really have to, in some way, go through the Stock Exchange.
I am not really sure how someone would go about getting Health Insurance as it stands now. I have Insurance from my Employer - which I didn't get to choose much of anything. Option A, Option B, Deductible. Thats it for my "Choices" in Health Insurance. So it seems having a Known place to go to in order to see what is available would be kinda good. That being the ONLY place to see all the options available... not so sure about that.
at 06:33 on July 17th, 2009
Most people will go with the government plan if the Insurance companies keep their prices so inflated. I'm sick of hearing people say they don't want the government between them and their doctor. They would rather allow their Insurance to be between them and their doctor. What's the difference?
at 10:19 on July 17th, 2009
Jag. It's easier to change your insurance company than your government. I like to have choices. Do you really want the government to decide what happens to your body? Do you want the government to be able to manipulate you by controlling the quality of your care? Competition is good for innovation and quality of health insurance.
at 12:40 on July 17th, 2009
Seriously?? What choice do you THINK you have? Sure, if you happen to be filthy rich - independently so - you may have your pick of what Health Insurance Company you have. The Rest of Us get whatever insurance our company provides. Which usually outright sucks.
I suppose we could try to find out what other alternatives are out there - the few that will actually talk to an individual. Those that do are outrageously expensive and don't cover a whole lot.
You are welcome to your ILLUSION of choice.
H.R. 3200 maintains the 'choices' available right now. My company will be able to choose what Health Insurance they want to offer me. Of course, with H.R. 3200 there is a Chance that I may be able to afford a Coverage Plan of MY choice. Is it Ideal? No. But ANYTHING is better than what is happening in Health Coverage and Medical Billing and Practices right now.
H.R. 3200 doesn't in any way authorize government to decide what happens to your body. It maintains competition while Protecting the consumer against bully tactics and fraud that is RAMPANT in today's health insurance RACKET.
at 06:03 on July 18th, 2009
I am not denying that there is corruption and problems in insurance companies, but given the corruption and various other problems in government , I am not sure how the government can solve it. I also don't understand why it has to be federal. Maybe a great deal of expense comes from government red tape in addition to corrupt companies and some expense just being a reality. Solutions or anything approaching them come from the people. I fear we are becoming an increasingly infantile nation, expecting government to fix everything. The federal government's main focus should be protecting our freedoms. A bill cannot necessarily deliver as said.
I am neither rich nor in grinding poverty, but I appreciate what I have. I have been denied insurance for stupid reasons, but I do not see a federal takeover as the solution. I don't deny that choices are limited and that insurance is expensive, but at least there are still some choices, more than many throughout the world. I see no reason why the government wouldn't do the same things that the corrupt companies do. I managed to get local coverage. The government tramples on little people all the time. What we need is a moral society. Nothing can replace that. We will continue to have these problems in abundance until we have that. The government can only do so much.
The bill may not authorize the government to make decisions about our bodies persay, but does the federal government with its corruption really need to be taking over our healthcare like this?
Your things can't get any worse attitude is dangerous. Please don't jump from the frying pan to the fire. Things can get MUCH worse. Look around the world. We have what so many throughout the world do not. While we should make things better, we also have much to be grateful for. We may be advanced, but we can lose that if we are so ungrateful and rash. For all our sakes, I hope you are right about the bill.
Am I wrong to question this bill? Am I wrong to be concerned about government getting too powerful and about the people getting too dependent? Once government programs get in, they can be hard to get rid of, maybe next to impossible. I am a conservative, but I have come to question what comes from liberal, conservative, or otherwise outlets. I'm not perfect, but I continue to learn critical thinking.
at 07:57 on July 18th, 2009
No, you are not at all wrong to question the bill. Heck, I don't like the Exchange setup, the Tax on people who don't have 'sufficient' health coverage, etc. I just wanted opposition to the bill the be grounded in Truth. If you support a blatant lie as your talking point, everything else that is said is tainted as unreliable.
I see your point about from the frying pan to the fire. I am teetering on the brink of ruin, so that may make me a bit desperate for some kind of a fix. Still, I don't think that we really have the time to get it all right the first go round - people need some relief.
I suppose I see it as a Failure of Man (Insurance/Medical establishment) to adequately regulate himself (not get too greedy). I don't think the people who caused the problem are going to make a sudden turn and self-correct - at least not any time soon. I don't have the money to enact some of my ideas (not-for-profit Health Insurance Co-Operative?). So, government intervention seems the only option. Lesser of two evils at this point.
I completely agree with the need for a Moral society. Question is, how to go about spreading morality? My moral base is Truth, Justice and Liberty.
I would have been a conservative in the 1950's - Ayn Rand kind of man. I don't think the standards are the same today. Today, the conservative mantra seems to be "Conform! Leave things as they are, do not change!" I suppose I would be a liberal-leaning moderate with conservative streaks.
I do think people are way too dependent. They already expect to be given way too much. Unfortunately, I see a lot of this sense of 'entitlement' in the upper echelons of business. "I have a right to my bonus, even though I've bankrupted the company and in part the Country." I know of one man who bought a business this woman had spent her life building, got the paperwork done, then filed bankruptcy - screwing this woman out of her life's work. He thought he deserved it.
at 10:24 on July 18th, 2009
Unfortunately, it is not always possible to change our minds if something doesn't work. It is beyond understandable to want a fix when you are in that situation. I hope things work out for you. Corruption is all across the board in varying degrees and the feds have so much on their plate, so I am curious as to how this could work. I don't know how the feds can meet individual needs better than something more local and maybe more personal. I know there are no perfect solutions. We have to pick our poisons.
at 08:56 on July 20th, 2009
Apparently you failed to realize one of the key points of the IBD article. Private health insurance can not compete with government insurance and thus, like medicare, it will put all private insurance out of business. That is in fact the intent. The government wants complete control over all your health choices.
The reason why private insurance can not compete is not because government insurance is better or more efficient, but because it's taxpayer funded and therefore not accountable to consumers, stockholders etc. etc. For those of us who have experienced the type of 'managed care', that supposedly mitigates costs (e.g. large HMOs), you come to realize that your care is rationed, it is inferior and that your providers would prefer that you just die.
Moreover your treatment options are limited to that determined by a select cabal of health care monopolists, the AMA and their buddies the pharmaceutical companies. Hence Obama care is a type of corporate fascism, actually that institutionalizes Big Pharma's profits. Why do you think they are in favor of this?
at 09:21 on July 21st, 2009
Matt, I'm not arguing for or against your weird conspiracy theories about what the big, bad "They" want to do.
I just pointed out the Fact that the H.R. 3200 bill in question does NOT make Private Health Insurance illegal.
By the way, large HMOs are Free-Market, Corporate entities. Pharmaceutical companies are already determining your care with kick-backs and incentives. Your insurance company wants to make sure it pays as little as possible and your pay as much as possible in premiums. Have you see what they pay your doctor? Have you seen what they deny coverage of/for? Still think they have your best interest at heart? NO. They have their profit margins at heart.
There are PLENTY of things to disagree with that actually ARE in the bill. Why does everyone seem to be arguing on false premises and conspiracy theories??
at 08:07 on July 21st, 2009
Grandfathered, eh?
What happens if you leave your employer (and, thus drop your current coverage) and begin work at a new place if this sham of a bill passes (God forbid!)? I'll tell you what will happen. You'll be forbidden from initiating new coverage with a new provider. That's what...
That would be, in a roundabout way, making ANY new coverage illegal. Yes, it may allow you to keep EXISTING coverage ("grandfathering") available for people, but prohibits NEW coverage. What will happen to my freedom of choice? I'll tell you what will happen. It will no longer exist.
Do you think Social Security is an efficiently-run, penny-pinching, well-managed government entity? Do you think Medicare is an efficiently-run, penny-pinching, well-managed government entity? Do you think the V.A. is an efficiently-run, penny-pinching, well-managed government entity? Do you think Medicaid is an efficiently-run, penny-pinching, well-managed government entity? If you answered "Yes" to any of those questions, then you are delusional. The only thing our Federal government is efficient at is wasting money (and our time).
Private healthcare cannot compete with government healthcare, much the same as automakers cannot compete with the new GM (Government Motors). Who do you think the government will go to when selecting contracts and bids for vehicles from now on? Ford, or their own automaker which will put money into the government coffers?
Can you say "monopoly"? Can you say "socialized medicine"?
at 09:12 on July 21st, 2009
Wow, Bob, you are an idiot.
As already explained, if you leave your employer and begin work at a new place, you will have to get whatever coverage your new employer offers. Same as when you started your previous job. Difference being, any New policy you get after this bill passes, IF it does, will have to comply with the requirements laid out in the bill and your company will have to go through the "Exchange" to select the compliant Private Health Insurance product to offer.
So, it totally protects your freedom to choose whatever coverage your employer offers. (moron)
It prohibits those grandfathered group policies from enrolling new members in those grandfathered policies. New policies that comply with the requirements of the bill will (legally) be offered through the Exchange system.
People only IMAGINE they have a choice now. (or they are VERY financially well off)
How about you complain about the "Exchange" the bill sets up and requires ALL the very still-perfectly-legal Private Health Insurance companies to 'participate' in? It makes everyone (employers, individuals) go through the "Exchange" to CHOOSE their coverage (or coverage they offer their employees). Or how about the Tax it places on people who do not have or get "Sufficient" coverage? Or would either of those be too rooted in Reality for you?? Do you have to come up with Imaginary complaints??
Can you think for yourself? No, I didn't think so.
at 02:22 on July 22nd, 2009
Interesting, the writer encourages us to actually read the bill. I've looked at it, which is very probably much more than my liberal congressman will do. At the end of the day, the plan is to eliminate private health insurance. Every citizen of this country will be at the mercy of liberal, federal workers put in place by Obama. We are trading freedom and liberty for some false sense of security. Want to read, go check out the facts on the so-called 47 million uninsured.
at 03:58 on July 22nd, 2009
My question is, "Which bill are you reading"? I went to a seminar last night on this bill and was informed that at this time there are five different bills being voted on in committee's. In fact, one of those committee's, House Energy and Commerce Committee, just took a break because of serious concerns over the bill they have. Only when they are all passed by the committee's they are in, will the five be brought together and combined to make the final version which will then be voted on and either defeated or passed to be given to the President. The copy of the bill you have, may not have this provision, but that does not mean that one or more of the other four does not and that the final version of the bill will not have this provision in it. This is how it works in Washington.
at 05:40 on July 22nd, 2009
okay, some of you people say your "Stuck with what ever insurance option your employer has" right.... i disagree. you're not stuck with anything at the moment. you can always decline your employer health insurance and pay for a private health insurance out of your own pocket. yeah it sucks, but thats life. you don't like your employer health care, drop it and go to ehealthinsurance.com; then "Quote. Buy. Print" it's that simple.
yay, free interprise!! yay capitalism!!!
but under a government "public" option.... that choice is taken away. you can no longer buy private health care since the bill prohibits new policies being made. so lets say you have private health care, and your provider comes out with a newer, better plan than what you currently have. well under this current healthcare bill, you cannot switch policies, so now your choices are limited to 2.
1. keep your current healthcare, in which the costs are more than likely to go up due to restrictions the government has placed on the company resulting in a loss of profits.
or
2. the puplic option government controlled healthcare.
yeah, those are great choices to have aint it. not o mention that if you keep your private health plan, you'll actually still be paying for the gov. option via taxes; so in reality your paying for two healthcare plans....
yay socailism!!!! yay generational theft!!!
what i find funny is that what the government can do to the private health care companies exactly what Walmart did to lots of small business owners.
yet... the gov is the good guy and not creating a monopoly?? and Walmart is the devil.... talk about double standards....
at 06:43 on July 22nd, 2009
Red, you Effin MORORN.
The bill ( H.R. 3200 as currently on http://thomoas.loc.gov ) does NOT prevent new Private Health Insurance Policies. PERIOD. Quite being astoundingly STUPID and saying it does. It DOES NOT. PERIOD.
It DOES require New Private Health Insurance to meet the list of requirements in the Bill and participate in the Exchange, along with - in addition to, as well as, beside, with - the Public OPTION - meaning it is an Option, not the only thing offered.
Seriously, stop saying stupid things - because if you support stupid, wrong ideas as your base of argument - your reality based concerns LOOSE credibility. If you base your arguments in reality and truth, you have solid ground and credibility. If you continue with the big LIE as your base, you are screaming on quicksand and will sink.
I agree, you do have the (extremely stupid) "Choice" to go and buy Healthcare coverage at double or triple the rate of the option your employer provides. I don't think anyone is going to call that the "Smart Choice." I do, however, have to admit that is an option. (Unbelievably stupid in a majority of cases, but still an option)
My employer-provided Health/Dental/Vision plan costs me $146 a month, before taxes. A comparable plan from ehealthinsurance.com (I did it today) would be $166.70, after taxes, plus $26.71 for the dental and no vision coverage and it has a higher deductible and higher co-pay for generic drugs. "good" plans outside employer-provided would be $180 or higher for medical only (no dental or vision). It is not really an option.
at 08:48 on July 22nd, 2009
Graywalker,
Calling people names does not lend much credence to your credibility either.
As I said, there are five different versions of this bill being looked at by five different committee's, two of which have passed theirs already and one of the other three took a break because of problems they saw with it.
Just because the copy you have does not show these provisions, does not mean the other four versions do not.
at 10:52 on July 22nd, 2009
Honestly dude, you need to get some anger managment issues taken care off. First I was willing to listen to your point of veiw, but because you resorted to the tactics of a 5th grader by name calling other people besides myself who have differeing point of veiws on this issue, you are, in my mind, the intellectual equivalent of a 2nd grader and there for any "point" or "proof" you have or might continue to post is discredited.
honestly, if your going to attack people because they have different points of veiw, why even post something in the first place. you notice i haven't called you any names for your "effing moron" and other rather hateful content of the above posts from you. do people really still use the word "effing"?? wow....
do yourself a favor, and take an intrapersional communications class sometime, it may help you alot when dealing with people in a perfessional manner who don't hold your same views, that way you don't result to such childish antics such as name calling.
so now that i've had my rant, while the bill doesn't come out and say "Private Health Care is Illegal" it might as well be illegal once the gov. restricts this industry beyond any repair. besides, the gov will monopolize the industry because no business can compete with the ability to draw on tax payers funds or printing money when needed. the "grand fathering of policies" is just smoke screen and mirrors, because if the company can't afford to stay afloat they'll go out of business and you'll be stuck with the only other option.
whether or not it's made "illegal" isn't really the issue; the real issue is the gov. taking over a private sector and eliminating the choices we, as the consumor, have; i don't know about you, but i rather like choices.
you argue that theres no other option besides a gov. take over, that insurance is way too expensive, that as a developed nation everyone should have healthcare.
i agree with all but one, there is another option besides gov. take over. do you really want the people who are responsable for the state that Socail Security and Medicare are in, to be responsable for our healthcare as well. SS will be broke beyond any repair just 60 yrs from when it was first started; how long before healthcare goes broke as well, seeing as healthcare will cover alot more people than SS, including Illegal immagrants that don't pay taxes.....
the solution lies in fixing the problems we have now, not throwing up our hands and giving power to an already bloated gov. thats irresponsible. don't force hospitals to treat illegal immagrants, that alone will help dramatically. instead of treating the illegals, ship them back to where they came from or drop them in the middle of the ocean, for all i care. there in the country ILLEGALLY and therefore don not get the rights or privalleges(sp) of a citizen.
another part of the solution, pass a law against these frivalous law suits. thats another major reason why healthcare is so high; because doctors and insurance agencies have to cover thier assets incase they look at a pateint wrong.
these two solutions alone would dramatically cut the cost of private health care. the only involvement the gov has in this solution.... tax breaks for taxpayers with private health insurance, and tax breaks for companies who offer health care plans to both full time and part time employees. that will serve as a major plus that will get people to buy healthcare and will also, in effect lower costs. more plan holders = lower premium rates. thats why the more people a company has, the lower the cost is.
but seeing as this is a common sense approach.... we know washington won't be involved with it.
at 14:53 on July 22nd, 2009
I realize 'name calling' is not a great thing... but seriously, I've spelled it out in small words enough times already. ... and yes, I use Effin and even Bloody upon occasion, you big meanie. (LOL)
I'm not arguing a "point of view" - I am arguing plain, basic, black and white FACT. The bill does not make private health insurance illegal. It does not make it impossible to get new private health insurance. It, by itself, does not eliminate choice - it (H.R. 3200) protects and enhances choice as it stands right now. Whether the bill made it illegal IS the only point I've been arguing.
Now, if you say "I think the regulations and fees will drive private health insurance companies out of business." THAT is a point of view that is debatable. You could even be right.
I don't argue that a government take-over is the only way. I kinda lean that way, because I don't think the greedy CEOs are going to suddenly turn benevolent and do things the right way out of the kindness of their hearts. At least government is SUPPOSED to serve the interests of the citizens instead of their own wallets.
I totally agree with you on stopping the idiotic lawsuits people are getting away with these days. Society is creating a lot of people who feel they deserve to be handed everything. New laws are protecting Stupid people who should be removed from the gene pool. "I didn't know the coffee was gonna be hot!" "Sure, I was drunk and driving over a hundred miles per hour and there was debris in the road, but the tire company is responsible for my wreck!" (yeah, they won with that argument!)
Your tax break ideas are good too. The bill's tax on people who don't have coverage is counter-productive.
at 16:05 on August 16th, 2009
Here is how this game works: Person A makes a statement, and then produces some sort of evidence to support it. Person B, who in this case presumably disagrees with Person A's assertion, offers a counter-argument with supporting evidence to show why the original argument may not hold.
Now here's the conversation that you and your ilk and having:
Person A: Healthcare bill xxx does not outlaw insurance or say that people cannot sign-up for private policies. Here is the relevant sections of the bill.
Person B: The healthcare bill will make private insurance illegal!!! (with no support or other discernible evidence)
Person A then calls Person B an idiot because that's what they are.
If you want your "point of view" recognized, then in any forum it is incumbent upon you to tell us what you bring to the table and why anyone should give a sh*t what you have to say. The ones that have been called names thus far have not done that, and instead have come in and restated the same dumbass talking point as before. So they get the dumbass treatment. And I applaud the blog owner for doing as much.
All better now?
at 11:40 on July 22nd, 2009
While section 102 does not outlaw private health insurance it does say that if you want it you must have it before y1 of the new program. Effectively, that will eliminate all private health care through attrition. If you leave your current employer you will not be able to sign up for private health insurance from another company, you will be required to take the government program or pay a healthy fine each year.
This bill is garbage will add 300 billion to the deficit in the next ten years and according to the CBO the costs will increase significantly in the out years (after 10 years). Currently, we will be passing on to our children and grandchildren $205,000 in federal debt for every man woman and child in the US. We should be ashamed of our greed.
a better option would be to reform the health care companies. About 20 years ago health insurance companies payout 90% of premiums in health care. Today that number is closer to 80%. If the government offered an incentive to companies to pay out 90% of premiums say use a 5 year average and a tax credit to reduce outlay to 90% of premiums if the outlay is greater than 90% and to levy a tax surcharge on companies that payout less than 90% to bring their expenditures to the 90% level. In order for a company currently paying out 80% of premiums to receive the same income at 90% as it did at 80% it would need to double the number of customers. That would create incentives for insurance companies to attract more clients and would greatly reduce premiums and increase coverage.
And there is no cost to us and no expansion of the federal deficit.
at 17:37 on July 22nd, 2009
So technically, it doesn't outlaw private health insurance. But it stipulates what new insurance plans will look like, effectively forcing private companies to offer a government solution in the guise of a private policy. Do not believe this wolf in sheep's clothing. Private insurance AS WE NOW KNOW IT will become illegal. Think your private insurance is expensive now? Just wait until this bill passes (pray that it doesn't) and see if you can afford it. Some people will be able to hold out, but most average Americans will have no choice but to go for the government option. How good will your new Obama insurance be? Let's take a look at some wonderful examples of service and efficiency: Medicare, Medicaid, the Veterans Administration, Social Security....sorry, I'm too depressed now to keep typing.
at 20:41 on July 22nd, 2009
Good information
at 11:18 on July 24th, 2009
I have just spent the last40 minutes reading this thread. I have gained a lot of insight into this bill(H.R.3200). I also have spent a lot of time trying to make sense out of the bill. Its like reading a bowl of spaghetti! There seems to be a lot of debate about what the bill actually states, and what is implied. When evaluting the virtue of this bill, I think you have to consider both. While the bill may not explicitly outlaw "private insurance", the type we know today, the consequence of the bill's actions will in fact change the entire insurance industry.
What I find interesting is that the one choice of health insurance that could really drive down health costs is not mentioned, or for that fact, even allowed by this bill. I'm talking about catastrophic coverage combined with a Health Savings Account (HSA). I say that it is not allowed under this bill beacause it does not conform to the essential benefits as defined by Section 122(b) of HR 3200.
Severeal people have commented on how dependent and entitled we have become. I agree whole-heartedly. If people were to have catastrophic coverage (CC) + HSA, the decisions for your everyday health expenses (vision, denttal, well visits, annual physical exams) would be entirely in your own hands. Since these expenses are paid for by you out of your HSA, you would probably be more inclined to price shop, and to closely examine your billing statement for errors or fraudulent charges.
HSA's are an extremely valuable tool. They belong to you alone, they do not disappear when you change jobs or become unemployed, they are funded with pre-tax money, they are not subject to government whims and changes, they earn interest. They are in effect your health independance. If young people, in their 20's and 30's, who are otherwise healthy, would initiate and self fund these accounts, like IRA's, they would grow sufficiently to support their aging years.
Think about auto insurance for a beater car. You only insure the items you are required to by law. PLPD only. You would not insure for collision of a car that is worth only $3000. By the same reasoning, a younger person does not need to have health insurance for a plethora of procedures that are not applicale to them (i.e maturnity care for a single male). That's where the catastrophic coverage comes in. You would be only insuring for the unplanned incident (car accident, broken bones, heart attack,etc) not the things that you know you are going to encounter (annual exams, vision, dental care).
CC + HSA would radically change the insurance and medical provider industry. If used on a large scale, it would force the providers to be more competetive with their pricing since people are now paying for the service from their HSA's. Think about how much could be saved without all the paperwork that takes place between the provider and the insurance company. But , unfotunately, HR3200 or any of the other bills being considered do not allow for us to be in charge of our own decisions.
at 09:23 on July 27th, 2009
They also ban cost shifting - treat it as racketerring. Both the private sector AND goverment would be prohibited from such actions. This forces everyone to pay equally. So those paying in cash to have pick up the costs shifted off of the insured.
at 09:24 on July 27th, 2009
Correction - I meant "They SHOULD also ban cost shifting "
at 07:32 on August 5th, 2009
I completely agree with your analysis of this section of the bill. However, what this does is force every new policy to basically be the same - it must comply with the Bill. So this section does effectively eliminate private policies between an insurer and a consumer because every newly created plan is the same. This runs contrary to the claims of the President and the Congress that there will be a private option in lieu of a "QHBP". This section looks as if it was added to ensure that the "private option" is an option in name only.
at 18:16 on August 5th, 2009
What choices do you have now?
You can choose your Deductible, your Copay and what else? Other than the 'flavor' of the company logo, its all the same stuff. I don't think the Bill changes anything but what HAS to be covered and what they can't do.
The Bill will make every plan have the same Basics covered - after that it is open season. Nowhere does it define deductibles, copays, Health Savings Plans, Flexible Spending Accounts, HMO, Provider Network, PPN, or anything else. Still a wide field for variety.
I can't see where people get the illusion of choice from. I guess you can choose what form of restrictions you have placed on you by your Health Insurance Company - if you can afford to go outside your employer plan.
Many people fail to realize that what we have now are For-Profit Companies rationing our healthcare, shortchanging doctors and limiting our access to medicines and procedures.
If you are healthy and don't get hurt, of course you don't have any problems. But if you get sick - what you have insurance for in the first place - oh, boy, you are in trouble. Your doctor has to prove to your private health insurance company that the tests and treatments he gives you are medically necessary - and you have to hope the company covers them, or you get stuck with the bill.
And if you are really sick they hit you with rescission - cancel your policy retroactively. "Because you didn't list the tonsillitis you had when you were four" or some other lame excuse. Or just drop your coverage. Or impose their "Yearly Coverage Limit" - bet you didn't know you had one of those, eh? Check your policy carefully.
Most of the Bill has provisions for finding the most effective treatments and suggesting those, but I did not see anywhere that it would "Force" those most effective treatments. Your doctor can still be ineffective if he wants to be. ( ?? )