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Wendell Potter

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ObamaCare a Blessing for Millions of Real Americans, Including My Mother, My Daughter, My Wife and Me -- and You

Posted: 06/28/2012 2:43 pm

As I was waiting anxiously for today's Supreme Court decision, I knew there was a man in Colorado I'd met on the first anniversary of the Affordable Care Act who was likely far more anxious than I was. 

I do not recall the man's name, but I have kept him in mind in the months since he came up to the podium to tell me after I spoke to an audience in Denver that he knew he was alive that day because of the new law. To me, he came to represent the thousands of Americans of whom I know can truthfully say that they probably would be in their graves if not for ObamaCare.

That man was among millions of people in this country who insurance companies have labeled "uninsurable," meaning they could not buy insurance coverage at any price because of pre-existing conditions. One of the most important provisions of the law that was upheld by the Court today was the one that will take effect on January 1, 2014, the one that will at long last make it illegal for insurers to refuse to sell coverage to people who have been sick in the past.

Knowing that 2014 was too far in the future for people to wait, Congress included in the reform law funding to help states create or expand high-risk pools to cover millions of people whom insurance companies for years wouldn't touch with a 10-foot pole. That man was among those millions who were finally able to buy coverage that gave them access to life-saving care.

While many political pundits and columnists will be focusing on how the decision will affect the political fortunes of Barack Obama and Mitt Romney and just about every candidate for Congress, I plan over the coming weeks to focus on the people who already are or will soon be benefiting from the law. That, frankly, includes members of my own family. My 25-year-old daughter, who has not been able to find a job that offers health benefits, was able to get back on our family policy because of the law. My mother, now 87, is not having to spend as much on her medicines because the law has already begun closing the hated doughnut hole in the Medicare prescription drug benefit. And the law even affects my wife and me and millions of other baby boomers like us. We both also have to take medications and, as a consequence, undoubtedly would be among the ranks of the "uninsurable" if we lost our employer-sponsored coverage.

The law is expected to bring 30 million of the 50 million uninsured Americans into coverage when it is fully implemented. It is not perfect by any means, but it represents the most comprehensive health care reform law in this country's history. What we will see in the coming months will be attempts to weaken the consumer protections in the law, and I know the industry I worked for over two decades will be at the center of those efforts. Advocates of reform will have to be on guard to make sure those consumer protections live on.

For Monday, I will write about what we can expect from the insurance industry in the months ahead. And I will write about other people, like that man in Colorado, who likely will be able to live a longer life, thanks to ObamaCare.

Continue this story and read more investigations at iWatch News

 
 
 

Follow Wendell Potter on Twitter: www.twitter.com/wendellpotter

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HUFFPOST SUPER USER
Elyriaohio
Stop the Monarchy
07:56 AM on 07/01/2012
Do we need Health-care? Yes.
Are we happy with the "American model"? No.
Should we change to a system that works, like the 36 industrialized Countries ahead of us?
Duh.
10:35 PM on 06/29/2012
Time to move the public away from hate speech talk radio one-liners to real content about the law and what it means in the lives of real Americans. Thanks for your insights.
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HUFFPOST SUPER USER
JasonTromm
Be libertarian with me for one election, live free
05:08 PM on 06/29/2012
Obamacare may give health insurance to 30 million uninsured, but it's going to cost $1 Trillion.

Obamacare is not good for me because my health insurance premiums are going nowhere but up.
HUFFPOST SUPER USER
missprissanna
the weight of the news nearly broke my back
09:30 PM on 06/30/2012
Ten years ago I had to cancel blue cross/blue shield health insurance. I had "coverage" for 15 years, every year the premiums increased.... by year 15 the premiums had more than tripled, were more than my mortgage and I still couldn't afford actual health care. During the entire 15 years I had one claim, after delaying and denying for months, they finally paid less than $500.00.....do you really think health insurance premiums are ever going to go anywhere but up?

If your insurance company has to send you a rebate check this year due to Obamacare, can I assume you're going to refuse to cash it since you are so opposed to it?
02:42 PM on 07/05/2012
Yep, the ACA is going to cost just over one trillion dollars to start. In the second decade, it's expected to save just as much (according to the CBO report).

I wonder how much we've spent on the wars in Iraq and Afghanistan over the last 10 years. I'm sure it's about the same as the ACA is expected to cost. But I don't hear many people complaining about that stuff. I guess we prefer taking lives over saving them.
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HUFFPOST SUPER USER
JasonTromm
Be libertarian with me for one election, live free
02:52 PM on 07/05/2012
No, I'm against the wars in Iraq and Afghanistan too. I'm in favor of bringing all our troops home from overseas, not just those in Iraq and Afghanistan.
HUFFPOST SUPER USER
Anne Rutherford
02:49 PM on 06/29/2012
To everyone who doesn't want to pay for anyone else's care - if you have insurance, you are already paying for their trips to the ER. Free ridership adds about $1,000/year to everyone's policy. Part of the problem is to "bend to cost curve". To accomplish that, your insurance pool needs to be larger: more preventive care means less ER care. By putting 30 million (assuming that 20 million will remain uninsured) into a primary care system (meaning they can get medication and monitoring for chronic illness), the demand on the emergency care (which costs more and does not deal with chronic issues except for stabilizing a crisis) should decline. The cost savings would be realized from fewer admissions to hospital and fewer trips to the ER for chronic care, and fewer trips to the ER for routine issues like ear infections. The hospitals would no longer be writing off as much as they currently do, and the subsidies given to hospitals providing that care can be reduced and used elsewhere. So, in the end, all you rightous ones - you're paying anyway. That is, unless, of course, you are one of those "free riders" in which you just violated your own ethic of self-responsibility.
oilfield
large employer per obamacare
04:06 PM on 06/29/2012
so what will happen to the already most frequent visitors to the er...the under 65 medicaid crowd? are they going to become responsible and go to the doc during the week?
HUFFPOST SUPER USER
Anne Rutherford
04:58 PM on 06/29/2012
Might not, but many would take care of their conditions and take medications if they had insurance. If diabetic, e.g., ER can get your sugar down, get you out of coma - but can't write your script for insulin. I know uninsured folks who would use resources wisely - but now, tend to wait until at the brink of death before they go to the ER. As for those who use ER as primary - at least they would have insurance to cover the costs.
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HUFFPOST SUPER USER
JasonTromm
Be libertarian with me for one election, live free
05:09 PM on 06/29/2012
We've been paying for the uninsured to go to the ER for over twenty years, that doesn't add that much to my health insurance premiums. There are plenty of other reasons for high insurance costs, that's not one of them.
02:45 PM on 07/05/2012
That IS one of them, my friend. There are other reasons, for sure, but the ACA begins to address those problems, as well. For instance, the 80/20 rule. The rhetoric will tell you that people don't want a bureaucrat standing between us and our doctors, and that's true. But right now we have insurance companies doing the same thing.

Should doctors and pharmaceutical companies make a profit? Sure! But should insurance companies? Nope! They serve no purpose outside of basic administration, and we could have that for a lot less than we're paying now. I'm tired of my premiums going up just to satisfy the bottom line of some middle-man that does nothing for me.
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ggg5gebhardt
I am really a cat!
12:44 PM on 06/29/2012
THIS IS ALL FINE THAT YOU ARE HAPPY THAT YOU ENTIRE FAMILY IS INSURED! I JUST DO NOT WANT TO PAY FOR IT. YOU ARE ALLOWING THE GOVERNMENT TO GET IT THIEVING HANDS ON OUR HEALTH CARE MONEY AND THEY WILL STEAL IT LIKE EVERYTHING THEY HAVE IN THE PAST.

WHAT HAS OUR GOVERNMENT DONE WELL AND NOW YOU ARE GOING TO LET THEM RUN THE HEALTH CARE SYSTEM! JUST THINK ABOUT IT!
HUFFPOST SUPER USER
Anne Rutherford
02:16 PM on 06/29/2012
Please don't use caps - you are yelling. I don't mind disucssing health care policy with anyone, but why on earth would someone read what you've written?

Come to think of it - accurate punctuation would be helpful as well.
HUFFPOST SUPER USER
mrsaskew
10:48 AM on 06/30/2012
The Army, the Navy, the Air Force, the Marines are run by the government. Are you unhappy with their performance?
12:35 PM on 06/29/2012
What about us unreal Americans? Don't we get "a blessing" too?

I suspect the decision had a lot more to do with power-tripping, threats, blackmail, back room deals, than anything that could be called "blessed". The folks that run our government and own our country don't care, period, end of story, about us: everything they do is to keep themselves at the top of the heap, and us in our proper places.
HUFFPOST SUPER USER
Anne Rutherford
02:19 PM on 06/29/2012
You have an opinion - and my take is that the opposition party really doesn't care if I can purchase insurance, or whether or not the market is rigged (it is) as long as the lobbying dollars come in and they have their return on investments. Now, if they can convince everyone that somehow they have a decent plan while they plot your demise - good for them. This at least allow a discussion about bending the cost curve, increases the pool of insured, etc. - which are designed to lower premium costs. For my 2 cents - single payer, but it isn't on the table now.
02:50 PM on 07/05/2012
Give it time, Anne. The 80/20 rule is going to eventually drive private insurance out of the equation. They'll slither into other aspects of insurance, where there are better profits to be had. And eventually, we'll have our single-payer option. I can't wait. For-profit coverage has been a nightmare. It should have never been allowed to happen.
12:08 PM on 06/29/2012
This article has as much real world relevance as the time James Stewart spent with Clarence in "It's a Wonderful Life." It's a nice, fuzzy, feel good thing. But this is the real world. And this bil, and the manner in which is was enacted, and the spin that is now being crammed down your throat, are all the real world.

Look, here's the truth, and you'll see that I am right. If this thing stumbles around and vaguely, kind of works, then it's not going to be the next step to anything. It's just going to perpetuate a system that is uncompetitive and obsolete. The only way this thing is a "next step" to single payer is if it fails miserably and brings the economy down with it.

A public option would be a next step, because if everyone switched over to it, the corporate health insurers would go out of business. But the ACA? A next step? How is that actually going to work? The step from what we have now to single payer is SMALLER than the step from the ACA to single payer. The mandate in the ACA renders the insurers and this system more established and difficult to dislodge.

The ACA is a step backwards. I'd like it if one of these guys charted an actual course in which the ACA would "step" to single payer. But no such course exists, except it's complete failure, a step we should not be taking.
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HUFFPOST SUPER USER
giftsthatpurr
zestful life
12:46 PM on 06/30/2012
Sour much?
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HUFFPOST SUPER USER
Blutodog
Say what?
12:06 PM on 06/29/2012
Wendall more then anyone realizes that something a putrid as the ACA is just about all we can expect as reform from a Corp. Plutocracy that owns both so called gangs ( AKA parties) that run the political system of this country today. At best it will put off the final reckoning of this decaying expensive and deadly system for another generation. By then the global catastrophy of ecological collapse will be upon us and the significance of all of this will pale before a wrathful Natural God.
12:01 PM on 06/29/2012
You people are going to see about this. People like this Potter guy are going to look at the wreckage that results from this law and justify their articles by saying, "see, we told you it was the necessary step." Because this law is going to keep us in the stone age when it comes to health care. These corporations are going to do whatever it takes to make massive profits--whatever it takes. That means trouble for you. They are not to be trusted, and they have way too much influence.
11:41 AM on 06/29/2012
Nice theory: the government regulates the health insurance industry into providing decent insurance rates and coverage for everyone. Very nice theory. Sweet and wholesome and dreamy.

Trouble is, the health insurance industry runs the government. You don't have powerful lobbyists with bags of cash swarming over the halls of Congress. They do. Those lobbyists exist to benefit the health insurers at your expense.

As long as our government is run by the guys with the biggest bags of cash, the health insurance industry isn't going to suddenly start acting in a humane and productive manner.

Nice theories are just that: nice theories. In this case, if you believe it, you are a fool.
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HUFFPOST SUPER USER
Izzy66
Agree to Disagree
11:14 AM on 06/29/2012
Mr. Potter, I've always appreciated your insight into the Health Insurance Industry and your courage to comment, report and write about it. Unfortunately all the praising is forgetting the aspect to so many who live in Red States who, for now, are left with an ideological state government that proposes to refuse federal money to assist low income adults, particularly those who have been negatively affected by this Recession. Many of my baby boomer friends were laid off, lost their homes and on food stamps. They simply cannot afford the premiums hlth insurance companies will require them to spend for care, yet our lovely governor, Rick Perry, refuses to expand coverage.
12:01 PM on 07/02/2012
The fact that states are not now required to expand Medicaid made me wonder if there will be an exodus of people to states that do expand coverage--the way there was back in the days of welfare. Certain states (like Wisconsin at the time) had generous welfare programs relative to some other states, and many people moved there to take advantage of it. So, maybe people in Texas will wise up and leave Perry and his nonsense in the dust--and a lot of other states might lose their minimum wage workforces, too. Some governors aren't too smart.
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HUFFPOST SUPER USER
Izzy66
Agree to Disagree
05:46 PM on 07/02/2012
Alas, I must stay for family, I have elderly parents who need help, there's no one else. The expense of moving and starting over in a new state can be prohibitive too. In this Recession, its not as easy as it once was.
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HUFFPOST SUPER USER
Izzy66
Agree to Disagree
11:06 AM on 06/29/2012
Not good for the 20 million who still won't be insured because of the lack of medicaid expansion in 26 states. No hope for those who have suffered the most during this Recession -- still no jobs, and no access to health insurance. Until that medicaid expansion issue is addressed, Many unemployed/underemployed living in Red States have no reason to celebrate.
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HUFFPOST SUPER USER
JasonTromm
Be libertarian with me for one election, live free
05:11 PM on 06/29/2012
Buzz! Wrong answer. Even if Obamacare was implemented in every state there would still be 20 million uninsured.
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HUFFPOST SUPER USER
Izzy66
Agree to Disagree
10:49 AM on 06/29/2012
I was thrilled about the decision until I heard about States opting out of expanding Medicaid. During this Recession? Really? I'm 55 and out of full time work for over 3 years. I have a degree and 35 years of work experience, but employers prefer young and cheap. Patchwork part time jobs here and there have barely kept my rent paid since my job went to India. I make under $15,000 a year and would qualify for the expanded medicaid if I lived in a state other than TEXAS.
Here they've defunded Planned Parenthood and will reject the Fed monies to expand Healthcare access. Yet, with only an annual income of $15,000 I will still be subjected to the law that insists I still purchase insurance or pay a penalty, which I can't afford either. Until that issue is addressed, I will reserve my celebration.
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ggg5gebhardt
I am really a cat!
12:45 PM on 06/29/2012
Excuse me for not wanting to pay for your healthcare!
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HUFFPOST SUPER USER
Izzy66
Agree to Disagree
04:06 PM on 06/29/2012
You must be Anti-Life. If I don't make enough money to gain health insurance, although I've paid taxes all my working life, I should just die? How Christian Compassionate of you! Guess you feel you shouldn't pay for OTHER PEOPLE'S Kids to get an Education either?
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HUFFPOST SUPER USER
giftsthatpurr
zestful life
12:49 PM on 06/30/2012
A country is only as strong as its willingness to provide care for it's children, old and debilitated. IMO that includes less fortunate. You are already paying for people's end stage health care and ER costs. Get a grip.
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HUFFPOST SUPER USER
JasonTromm
Be libertarian with me for one election, live free
05:12 PM on 06/29/2012
Quit whining. Even if Obamacare was implemented in all 50 states there would still be 20 million uninsured. (And the bill is going to cost $1 Trillion.)
HUFFPOST SUPER USER
istanbulite
10:25 AM on 06/29/2012
Mr Potter, Many thanks for a sane and realistic article. Thanks for talking about the man from Colorado. As a Nebraskan neighbor I can commiserate for sure. I jumped ship on the Nebraska Chips plan when they more than doubled my premiums from $500 to $1100 per month. My home insurance provider/friend helped me apply to Allstate for private insurance. 5 years later I have spent over $25,000 in premiums and not filed 1 claim. I have a $5,000 deductible and no pharmacy coverage. They also added a rider for a preexisting condition to which they would provide no coverage. The good news is that I am 10 months away from Medicare coverage. I am also thankful that I have remained healthy. Please keep reminding us that the issues are personal and not political.
08:49 AM on 06/29/2012
Wendell. Thank you for your courage and your service to the American people. You are an inspiration to all these who are trying to stop the American plutocracy from a complete takeover of the country