Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
Karen Davis

GET UPDATES FROM Karen Davis
 

A New Era in Health Care Begins Today

Posted: 09/23/10 09:37 AM ET

This morning, millions of Americans gained access to more stable and comprehensive health insurance, thanks to important provisions of the new health reform law -- also known as the Affordable Care Act -- that take effect today. These changes could not have come soon enough. New census data show that a record-breaking 50.7 million Americans -- from all income levels, but many of them firmly in the middle-class -- lacked health insurance in 2009. That's a spike of over 4 million in one year, driven by a recession that has left millions without jobs. Last year, nearly 7 million people lost insurance they had previously obtained through an employer.

The reform provisions that go into effect today will bring coverage, financial relief and health security to many, and will also impose important new rules on the insurance industry to prevent future abuses.

As of today, young adults up to age 26 will have the option to enroll in a parent's health plan. Young adults between the ages of 19 and 29 are one of the largest segments of the uninsured; 13.7 million lacked coverage in 2008. Young adults often lose coverage when they age out of their parents' coverage upon graduating from high school or college, or when they become ineligible for public programs like Medicaid and the Children's Health Insurance Program at age 19. In 2014, they will also be able to gain coverage under Medicaid expansion or through state health insurance exchanges with subsidized coverage for people will low or moderate incomes. One million young adults (and their parents) are likely to take advantage of these important changes.

As of today, insurers can no longer place lifetime limits on benefits, and annual limits are severely curtailed. More than 100 million people currently have lifetime limits on the amount that their health insurance will pay, and 18 million have annual limits.

As of today, insurers can no longer retroactively cancel, or rescind, coverage. In what often becomes a nightmare scenario for ill patients and their families, more than 10,000 people each year have their coverage rescinded -- frequently just at the moment they need the coverage the most. Rescissions are no longer allowed.

As of today, there are new options for as many as 400,000 people with preexisting health conditions, who will immediately be able to enroll in new state-based insurance plans, and for the parents of thousands of children with preexisting conditions, who can no longer be denied health insurance for these youngsters.

Medicare beneficiaries who hit the prescription drug coverage gap or "doughnut hole" this year have already begun receiving $250 rebates. And, as of today, Medicare will eliminate cost-sharing for preventive care, and will provide for an annual wellness visit with no copayment. Next year, Medicare will provide a 50 percent discount on brand-name drugs to Medicare Part D enrollees who spend enough on prescription drugs to enter the doughnut hole. And additional discounts on brand-name and generic drugs will be phased in to completely close the doughnut hole for all Part D enrollees by 2020.

A new era in American health care begins today, one that will usher in a new found health and economic security for millions who have struggled too long. But even with all the relief that will come starting today, the record losses in coverage experienced by millions of middle-income families point to the need to accelerate implementation of health reform to provide help faster. This is not the time to be talking about repealing health reform. It is urgently needed. The nation cannot afford to ignore the plight of millions of Americans whose health is at risk, and whose health and productivity are key to revitalizing the American economy.

 
 
 
  • Comments
  • 22
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Recency  | 
Popularity
02:36 PM on 09/23/2010
Doesn't it just sound so rosy? What about the fact that because we have no single payer health care, or even the competition of the poorly named public option, the insurance companies are already doing work-arounds like just ceasing to offer single plans for a child, among many other things?

Oh, and while you're breaking your arm while patting yourself on the back, maybe you could stop and provide a comprehensive analysis of how many more people this will make health care available to, versus how many are now unable to partake of the oh-so-graciously provided privilege to purchase health insurance from people we couldn't afford to purchase it from in the first place, because THERE ARE NO JOBS FOR THEM TO USE IN PAYING FOR IT?

Who want's to bet that the former numbers are either negated, or even ECLIPSED by the latter entirely?

And now Obama and the Dims want us to allow them to keep their cushy jobs, and yes, single payer health care that apparently only they are good enough to get? HA!

The Emperor has no clothes.
photo
Skunkman
old & decrepit
02:04 PM on 09/23/2010
There is no way this will be repealed. With each passing day, more and more families will benefit from this law, including families with a young adult who can't get insurance, a child with a preexisting condition, a family member who has reached a lifetime limit, or senior citizens who have reached the Bush-created donut hole in their prescription drug programs. That's a lot of people and will be more as the months and years go by. What kind of person would want to take those benefits away? The Republicans, that's who! Still, there aren't enough people in Congress -- even among the Republicans -- who are stupid enough to do that. In fact, the ones who are saying they will repeal, like Agent Orange Boehner, are probably losing votes by threatening to do so. The republican/TP
folks either have insurance, can afford it or are just plain dumb. I think the last is the majority.
01:51 PM on 09/23/2010
Thanks for the info, Ms. Davis. And the Repugs have vowed to repeal it-heartless and uncaring as they are. I wanted single payer-but this is a start and it will help a lot of people right now. Dems need to get out there and vote-even though things are not where we would wish yet. Letting the Conservative fringe loons govern is just suicide.
01:46 PM on 09/23/2010
If you have Tricare, as we do, you can't add older kids to your health policy at all. The health care reforms do not apply to Tricare. So while most people can add their kids military people can't.
11:49 AM on 09/23/2010
Absolutely ridiculous. Just ridiculous. Just read that article. Complicated enough? This entire system is forcing itself through ridiculous permutations and twisted gyrations just to preserve the ridiculous profits these "health" companies are making. This is only going to add frustrations and costs and nonsense to an already foolishly expensive system. It is an absolutely embarassing and ridiculous answer, when there's an easy answer right in front of us, that every other civilized country on the planet has figured out. The biggest problem in American health care is it's immense overall cost--by far the most expensive in the world, with lousy results. Are you telling me this system is going to cut those costs? Did you read that article? All the people fussing and hassling over all these regs are going to cost and cost and cost. I am embarassed. This is so obviously a completely foolish misstep.
11:00 AM on 09/23/2010
{{{ hand︹bag︺OK }}},Kim K. love it.
photo
HUFFPOST SUPER USER
Jenna Bean
Sock Monkeys!
09:21 AM on 09/23/2010
So what about the teen moms who are forced to give birth to their children that are a result of in.cest or r.ape? Do they have a category for them if the Tea Party take over?
photo
Kalie
Left of Center
11:29 AM on 09/23/2010
Yes, their category is scre#ed due to the tea party and right wingers. Get everyone to vote against them so we can "take back our country".
09:20 AM on 09/23/2010
let me think......for the past 10+ years, insurance premiums were rising 10+% a year. Now they hurl few crumbs at us and tell us to be happy.
09:32 AM on 09/23/2010
they learned from Orwell - in his "1984" the state quiety cut the chocolate ration by 50 grams, then publicly announced they were raising it 25 grams, hailed as a great victory for the state (paraphrased from memory) but you get the idea
photo
HUFFPOST SUPER USER
granto2
10:13 AM on 09/23/2010
as an american who has always worked and tried to take care of myself and my family, and now out of work due to a debilitating chronic disease, i am damn grateful for what you call a crumb. i can now rest knowing that my insurance company can no longer legally drop my coverage should it so choose. i can now rest knowing that should i ever lose this coverage in case of my husband losing his job for whatever reason, i cannot be legally denied coverage. should my grandchildren be stricken with a deadly illness, they cannot be denied coverage, and none of us will be left to suffer by something called a pre-existing condition. yep, damned grateful.
photo
Kalie
Left of Center
11:30 AM on 09/23/2010
Yes and you can thank the Democrats for your crumbs. The part of NO must GO!!
02:53 PM on 09/23/2010
Just a couple of questions here: What if your husband DOES loose his job? It's entirely likely in this economy. What then? True, you cannot be denied coverage for the pre-existing condition, but you CAN be denied because you have no money to pay for it. Not so with the single payer health care or even the public option that Obama and the Dims utterly failed to make happen via appeasement.

And finally, you do realize that because of those failures, among others, the insurance cartels won't offer a plan cover your grandchildren at all so that they can get around the prohibition against denying coverage for pre-existing conditions? That they'll try and find a way to get around offering YOU coverage if they can, because they have no competition for you to go to because the law says you HAVE to go through them?

Be grateful if you like, but don't be willfully blind. Don't settle for crumbs. Loudly ask questions like: If all our worthless politicians get single payer, universal health care for themselves and their families, why can't I?
08:58 AM on 09/23/2010
All these articles I've seen today about the new health insurance rules going into effect should put that there are stipulations to the age 26 provision. My son is 24, was removed from our insurance last January, due to his age, and our insurance company will not let him back on until July of 2011, during their open period. So he is without insurance, and without a job, since he just graduated in May and cannot find job. So that provision does not go into effect today for everyone.
08:56 AM on 09/23/2010
Oh, please. These improvements -- while valuable and long overdue -- are a drop in the bucket compared to what was needed. These reforms focus largely on people who already have insurance, while 50 million people can't afford it or are unwilling to be horrifically gouged by the now-government-sanctioned ripoff artists who are allowed to prey at will on the American public. Obama had a mandate to pass single-payer insurance and he could have. Unfortunately, his key advisors -- who I suspect had been put in place to ensure the president never actually achieved anything that would significantly threaten the status quo -- convinced him to settle for minor tweaks in the system. Anyway, it's likely that even these modest improvements will be scrapped in a few years after the Republicans return to power and carry out the wishes of their evil sponsors.
photo
HUFFPOST COMMUNITY MODERATOR
Gudrun
My micro-bio is empty
09:19 AM on 09/23/2010
He couldn't pass single payer because the votes were not there.
03:03 PM on 09/23/2010
He didn't even try to pass single payer, and barely did anything until late in the game to either shape or push for the public option. And even then, his efforts can only generously be described as anemic.

That's why. Because he's utterly failed to lead. The votes were not there, because he made no real effort to generate them. You may not like it. Hell, I don't like it. But that's the way it went down. Please try not to spout White House talking points if you don't understand what kind of corruption it's meant to cover for.
photo
HUFFPOST SUPER USER
granto2
10:20 AM on 09/23/2010
sure, shame on him for not shelving the entire idea like the gop wished. he knew it would be a hard fight, i think he really believed that the gop would come together to work for the american people they crow about working for. it didn't happen. in fact a wall of partisan blockage began, and the gop even managed to scare a few dems who wished to stay in washington. had he pushed any further, there would most likely be no 'as of today' at all in this article. he passed a major piece of legislation that was bitterly opposed by an entire party. so far as i am concerned he pissed in the face of the obstruction, though he would never look at it that way. i am grateful to president obama and nancy pelosi and harry reid and all the other dems who took a stand and have effectively guarded my future in some way. settle for minor tweaks? really???
08:54 AM on 09/23/2010
so with no caps on what insurance companies can jack the rates, who was obama writing this bill/law for the people or the insurance industry, the people got some but the insurance got more.
i must say obama did cover his fan base the best the insurance companies.