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Sec. Kathleen Sebelius

Sec. Kathleen Sebelius

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Better Benefits and Better Health for Women

Posted: 03/22/11 10:47 PM ET

It's hard to believe it's been a year since President Obama signed the Affordable Care Act. But in the twelve months since it was signed, the law has already given Americans more freedom and control over their health care choices. The law's key goals for America's families: better benefits and better health.

The Affordable Care Act created a Patient's Bill of Rights that put an end to the worst abuses of the insurance industry. It made it illegal for an insurer to drop your coverage when you need it most because of an unintentional error on your paperwork. And for those in new plans, it provides preventive services like Pap smears and mammograms at no cost to you. Americans are already enjoying new protections, greater freedoms, and lower costs.

In Florida, Dawn Josephson was used to just getting by with health plans that excluded important benefits for her family because of pre-existing conditions. Her son had just had eye surgery, and she was expecting even more exclusions when she went looking for a plan last year. But thanks to the Affordable Care Act, it is now illegal to deny children coverage because of health status. Dawn was able to find a plan without exclusions, and she got her family the coverage they needed.

In Minnesota, Lisa Doyle worried about her daughter Julie losing health coverage when she graduated from college. Lisa was unsure if Julie would find a job with coverage, and Julie had pre-existing conditions that would make individual insurance costly. But Lisa was able to keep Julie on her family insurance, thanks to a provision in the law that allows parents to keep children on their insurance up to age 26 as long as their child's employer does not offer coverage. A few weeks before Julie would have aged out of the family plan, she experienced a severe health incident -- which would have been a nightmare to go through without coverage.

As a mother, I know exactly what she means. When my sons graduated from college, they were fortunate to find jobs, but not jobs with health insurance coverage. They were lucky. They were healthy and had the resources to afford coverage. But thanks to the Affordable Care Act, families will no longer have to rely on luck, and they will have better coverage options.

Across the country, moms like Dawn and Lisa are experiencing the peace of mind that comes with knowing their children are cared for. And millions of other Americans are receiving benefits and protections that are improving their health. From seniors getting help affording prescription drugs to small businesses being able to cover their employees using tax credits, the Affordable Care Act is already making a difference in people's lives.

This blog comes from MomsRising.org and CustomFitWorkplace.org. Each week it presents innovative ideas to strengthen 21st Century American families through public policies, business and workplace practices, and cultural change. Read personal stories on the health care blog-a-thon happening right now on the MomsRising blog.

 
It's hard to believe it's been a year since President Obama signed the Affordable Care Act. But in the twelve months since it was signed, the law has already given Americans more freedom and control o...
It's hard to believe it's been a year since President Obama signed the Affordable Care Act. But in the twelve months since it was signed, the law has already given Americans more freedom and control o...
 
 
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08:00 PM on 05/05/2011
If we would be taught how to prevent disease the direct benefit would be near zero world debt.
How to Know That:Disease Prevention Is The Key to Health Care
http://www.ehow.com/how_5423710_thatdisease-prevention-key-health-care.html
HUFFPOST SUPER USER
fairandbalanced100
09:21 PM on 03/24/2011
I got 2 relatives that were helped by Obama's healthcare reform . My brother was able to cover his
24 year old son & my mother got a $250 rebate check, because she was in the donut hole of
Bush's healthcare plan , but Obama's healthcare reform helps fill the donut hole for people that
have more than a few thousand dollars of healthcare in a year.
08:53 AM on 03/24/2011
All you retired ladies. This is the highest year your social security will ever be. Obama care wipes out all cola's and digs deep into your remaining checks from now on. I know several people on hospital boards and many doctors. This is true. So if your content to let the feds confiscate your money to pay for illegals and permanent non workers. Just sit back and watch your life style be reduced to a cardboard shack.
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HUFFPOST SUPER USER
Jophoenix
06:14 AM on 03/24/2011
Health care needs to be nationalized no one should have there health care connected to a job. No other first world country has this backward system in fact GM's past President spoke about this burren on US business and we see where that got him. Talent should not be subject to employee based insurance it takes the creative spirt and ties it down to survieal.
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HUFFPOST SUPER USER
Dee Amschler
on the edge
04:31 PM on 03/23/2011
I'll believe it when we ALL benefit. Right now, we still throw entire portions of the population under the bus. The childless disabled are great example of this. We MAY get "help" in 2014 - if the law still stands at that time AND it works as it's supposed to work. I'm not holding my breath. Actually with my asthma, I can't hold it.
10:24 PM on 03/23/2011
Do you really mean "all"? Or do you mean "I"?
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HUFFPOST SUPER USER
Dee Amschler
on the edge
11:57 PM on 03/23/2011
My post is in clear American English. Try reading it. You should be able to figure it out. Hint: it's not merely "I".

BTW, personal attacks aren't appreciated.
04:08 PM on 03/23/2011
From the beginning I supported health reform. We heard that 30-40 million adults didn't have any at all, and that the more who are insured means less costs all round. Unfortuntately, turning the healthcare ship around is one huge task that takes years. However, I just renewed my Blue Cross policy and it was not only cheaper by $100 per month, but it also offered preventive care options I didn't get before. I am self employed and no one is carrying me on their back. I now see the benefits of the new healthcare plan. It's sad that people on this site and elsewhere don't get the bigger picture, but I understand their frustrations. Remember: No other president has had the courage to do this in decades, so there are a few rough spots.
LeanLeftAmerica
All generalizations are false, including this one
03:10 PM on 03/23/2011
Healthcare should be about healing the sick. Not about profit. PERIOD
HUFFPOST SUPER USER
fairandbalanced100
09:27 PM on 03/24/2011
Republicans only care about profit & don't care about sick or poor or lower middle class .
11:44 PM on 03/24/2011
Hey genius many health insurance companies are non profit, but your dem leaders don't tell you that.
03:02 PM on 03/23/2011
The only care that is affordable is for Dawn Josephson and Lisa Doyle, while my premiums have now gone up to foot their bill. Furthermore, why are we focusing on women's health anyway? Considering the life expectancy for women in the US is 5 years more than men, maybe we should be focusing on men's health.
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HUFFPOST SUPER USER
Chief22
02:30 PM on 03/23/2011
How does hospitals closing, doctors and nurses leaving the profession help anyone?
12:18 PM on 03/23/2011
It's very scary to me that our Secretary of Health and Human Services believe that only women benefit from healthcare for children.
11:25 AM on 03/23/2011
While the anecdotes are nice Mrs. Sebelius acts like they occur in a vacuum. The parents of healthy kids have to pay more as a result of those changes that she is praising. The cost of any mandate is something that consumers have to pay. Meanwhile politicians act like they are working for consumers when they mandate coverage. It really isn't the case if anything they are doing the work of the insurance companies. While the status quo certainly wasn't perfect the biggest obstacle that people had to access to healthcare has been cost. That obstacle has been made worse by the legislation. Insurance is based on risk. A pre-existing condition means that you now have something that increases that risk. If sick people are allowed to buy into health insurance for the same cost as healthy people it gives healthy people a reason to drop their insurance.

Should laws be changed that prevent companies from raising your rates after you get sick? Absolutely. Changes should be made, but it doesn't take a drastic overall with thousands of waivers given to the politically connected that opt those groups out of the legislation. The overall should work for everyone. The problem is that not enough people pay for the cost of their care. This makes them ineffective consumers. They make decisions with other people's money so they buy things that they wouldn't otherwise. They buy expensive things when a cheap alternative would have done the job.
HUFFPOST SUPER USER
SithRose
Mommy, I need Cthulhu. He keeps bad dreams away.
02:20 PM on 03/23/2011
A: People don't pay for the cost of their care.
This is true. Have you ever tried getting an upfront quote from a hospital or doctor about what a procedure will cost? Try it some time. You might be surprised how difficult it is to find out what the cost is estimated to be. That doesn't address people who demand the newest, most expensive, shiny wonder-cure treatments because they're covered...however, it also doesn't address LACK of coverage of less expensive treatments.
Example: Gastric bypass. Completely covered under some insurance plans. The same plans...do not cover dietitians OR mental health therapy for overeating disorders or any number of far less expensive (and slower, and more time-consuming) procedures.

A significant portion of the problem is profitability being placed above actual treatment. People do not seem to understand that EFFECTIVE treatment is NOT the same as expensive treatment. Effective treatment can't always be broken down to "We'll pay the doc for X, Y, and Z procedure and A and B drugs prescribed."

I can get $500 a pill drugs covered. I can't get a $250 mental health visit covered. I can't get a $150 eye exam covered. Why? Because the latter two aren't as profitable. Never mind that the eye exam may prevent me from having to have a $25,000 surgery later down the road...
LeanLeftAmerica
All generalizations are false, including this one
03:06 PM on 03/23/2011
Healthcare is so expensive because it is a "for profit" industry. Since healthy people such as yourself has allowed politicians to exclude "bargaining" rights for prescriptions drugs (Medicare, Canada, etc)... you are "obliged" to make up the difference.
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catcancook
Obama/Biden 2012
10:54 AM on 03/23/2011
Health Ins. while wonderful can also be Hell. My hubby went for his annual visit, paid for by our insurance under "preventative" visit. We got a bill saying "the visit" wasn't covered under "preventative" clause..due to the coding of " a medical condition".

The hospital said his medical records showed he went to this appt. with a "medical condition" which was untrue. If you go for your annual check up and the doctor finds a problem...they won't pay for your "preventative" annual visit..Go figure. The Code may be wrong but they will never admit to it.

I fought with them from June '10 to March '11. I spoke to many people at the Ins. Co. and the hospital. It became a war with harsh words. The hospital billing dept got very nasty with me on several occasions. We spoke to the doctor and he couldn't convenience them it was "preventative" only.

Finally, I just got worn down, paid the bill after 10 months of arguing. Two weeks after I paid the bill they sent me a REFUND...Oops, they made a mistake, here is your refund! But no apology for the accusations of not wanting to pay the bill!

If this is an example of how things are going on our there in medical land and insurance land than we are all in for a rough ride.
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HUFFPOST SUPER USER
frank day
Republican = FAIL
12:18 PM on 03/23/2011
The horror stories over medical billing errors would probably fill up the library of Congress.

The sad thing is, that families and individuals are burdened with the financial pressure at the same time that they are having to deal with major illnesses.

The system is broken.
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catcancook
Obama/Biden 2012
02:35 PM on 03/23/2011
You are so right and that crossed my mind at the time. I wondered how really sick people find the strength to deal with these Monsters because they were ugly. I kept badgering them for months because I knew I was right and it was the principal of the darn thing but I finally gave up because they wore me down!

My insurance co even tried to talk to them and got the same ugly responses. It is scary that this is what sick people have to deal with because of billing errors!
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HUFFPOST SUPER USER
Dee Amschler
on the edge
11:04 PM on 03/23/2011
And this is a great example of why the "reform" we got isn't going to fix a thing - except for insurance company coffers. Insurance to a large degree IS the problem - the problem can't be the solution too. There are way too many examples like yours (and I could give several of my own too) of how insurance does little except for find ways to delay or deny care or flat out re-write it into something besides what the doctor ordered.

So can someone please explain how mandating us all to buy insurance is going to fix the problems in the above paragraph? PLEASE!
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catcancook
Obama/Biden 2012
09:45 AM on 03/24/2011
There was a time when it wasn't like this and there are those of us who remember that Insurance and Hospitals operated very successfully without all of this animosity and greed. Something changed for the worse and now the Patient is the enemy for both the Ins. Co and the Hospitals.

I remember when the Ins. Company just paid the bill and life went on. Now I discover that the Billing Office will behave so horrible for 10 months over a tiny bill when then they were wrong all along, just shows how bad it is right now.

The Health and Insurance industry went from Patient=Care to Patient=Money.

When a cut finger cost $700.00 for 4 stitches in an ER...something is very wrong with the system.
10:49 AM on 03/23/2011
Kathleen you can take off your rose colored glasses when reading comments here because they are being cherry picked for your gratification.
09:49 AM on 03/23/2011
If Democrats want to be successful in 2012, they need to be able to defend the health care act in direct, powerful terms. This is a good start, but many Americans, according to polls, are still confused by the act's complexity and distracted by silly but effective soundbites from Republicans. I am somewhat encouraged by the blogsites mentioned in the article; Dems need to do more of that to get the word out to specific constituencies.
10:20 AM on 03/23/2011
I'm not so sure. I think the act serves as a reminder to much of the base that the Democratic Party will do the least amount of work possible to keep us energized. The act was bad politics and policy, however marketed. Those of us who know this are not going to be psyched to get out the vote, etc. by being reminded of it, especially as an example of what to expect from Democrats.
10:37 AM on 03/23/2011
That said, I'm not sure what they can point to that would help. Indefinite detentions? Bank love? Tax cuts for the rich? Vigorous defense of domestic spying, crackdowns on whistleblowers and government secrecy? We'd get (and got) all of that from the GOP. Hell, even the health care plan is a version of Mitt Romney's plan.

My guess is that we're in for a year of "look how scary the GOP is." Boy, that's inspiring.
06:08 PM on 03/23/2011
No question that the act was overly complex and the administration didn't do a great job of explaining it. IMHO, the effort was severly crippled when Tom Daschle was forced to withdraw his nomination for HHS. As soon as it got under the control of Max Baucus, all was lost. Yes, Daschle had a tax issue, but so have a lot of others on both sides of the aisle.
10:53 AM on 03/23/2011
I'm so confused that I keep wondering when the government will mandate that everybody will have to buy my product too? (And unlike insurance my product comes with a money back guarantee of its utility).
12:09 PM on 03/23/2011
One does not need offer a money back guarantee when one has a monopoly on force. That entity can just give you a crap product or service and then say tough! Pretty awesome huh?
06:09 PM on 03/23/2011
No need to be confused: the insurance industry lobby demanded the mandate. And maybe your product would qualify if it cost all of us money to cover those who didn't use it.