What the House Health Reform Bill Means for You

Posted by Sierra on November 8th, 2009 at 2:12 pm

Health care reformSaturday night, the House of Representatives passed a major health care reform bill; the first to clear that hurdle since Medicare was created over 40 years ago. If it also passes the Senate and is signed into law, this health care reform will provide insurance coverage for up to 36 million uninsured Americans.

What will this mean for your family? Not a lot right now. The bill still has to pass the Senate and be signed into law by the president before it becomes law. The Senate hasn’t put forward their final version yet, and a lot could change between now and the eventual reform laws, assuming any make it through.

The bill the House passed includes a public option for low-cost health insurance, as well as federal subsidies for purchasing health insurance from private companies. In addition it creates new rules for how health insurance companies do business.

  • They would no longer be allowed to drop patients who become seriously ill.
  • It would become illegal to deny a person health insurance due to preexisting conditions.
  • A new system would be put in place to allow patients to shop for competitive insurance rates across state lines.

While the bill’s passage was a huge win for progressives, they also had to swallow the Stupak Amendment, which prevents any health plan receiving any federal funding from covering abortions or any health care associated with abortions. Who needed those pesky reproductive rights anyway?

As the fight over health reform moves on to the Senate, MomsRising.org is continuing their “We Won’t Be Pacified” campaign to get women’s health and reproductive rights covered.

Photo: Sage Ross, 2009

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13 Comments

It means that I may no longer be able to afford the extra speech appointments for my son.

Lisa commented on Nov 08 09 at 3:46 pm

Comments If they keep cutting reimbursement there won’t be anywhere for anyone to go, hospitals will fold, MDs will quit, some already have. Would YOU want YOUR pay cut repeatedly when you have to hire specialists in coding, HIPAA, medical records, the computer system you have to have, receptionists, nurses, medical assistants, rent, AND student loans from 8 yr. of school? Specialists are useless for primary care but that’s all that’ll be left the way reimbursement sucks so much for primary care doctors.
I’m a disabled RN, I’d love to be able to return to work but can’t right now (haven’t given up on feeling better; worked 22 yr with conditions that send most people for disability in 5 yr or less). I’ve had my share of arguments with doctors & confronted many a bullying MD. I’m not someone who kisses up to doctors. But fair is fair, & this isn’t - nor is how the elderly will have to give up benefits.
This bill will lead to euthanasia of anyone elderly &/or with chronic illnesses, trust me, plus rationing of care to smokers, overweight/obese, substance abusers, dementia patients - not help, just rationing. While we as a country continue to pay out for diseases caused by sexual promiscuity without batting an eye at the cost (which is as much, if not more, than that caused by obesity & smoking & equals that of substance abuse, if anyone would have the courage to admit it), we’ll punish anyone else, starting with people whom we believe are too ugly to live.

Nerdse commented on Nov 08 09 at 4:42 pm

RIP freedom, we barely knew ye.

Eric commented on Nov 08 09 at 5:13 pm

You’ve got to be kidding me. I can’t believe you people have swallowed whole the lies and distortions being shoveled out by the Republicans and Tea-baggers. Disgusting. Unless of course you work for an insurance company - then I guess I can see why you’d be depressed. You may only make 500 million next year.

bettywu commented on Nov 08 09 at 11:23 pm

untrue. You will still be as able to have private insurance as you are now. This system we currently have does not work. These are minor reforms that fix the biggest problems with the health care system.

I really don’t understand how people can think the system works. My husband did not have employer based health insurance until he was 35 (fortunately he married me at 29 so my health insurance covered him). Many adults I know who work in arts or technology do not have health insurance. This weekend I received a letter from my gyn saying that she could no longer afford to take my (private employer based) health insurance. I could go on and on. I wouldn’t even call these horror stories, they are just typical. The bill passed in the House won’t solve all of these problems but it is a small step in the right direction.

carefree childhood commented on Nov 08 09 at 11:30 pm

I don’t argue that the current system has problems, and could use a serious looking over. But this is not a ’small step.’ You will now be federally mandated to by insurance either from the government or a private insurer and will be subject to fines and/or imprisonment for failing to do so. This, by definition, is a loss of freedom. I would love for the health care system to improve, but not by expanding government control and expanding our debt to the tune of 1+ trillion dollars. We are inviting a crisis in our currency by continuing its destabilization. These are my chief complaints, and won’t say any more on the issue. You may now resume your insults of my political views.

Eric commented on Nov 09 09 at 12:53 am

The current system does have a ton of problems, mostly from a lack of the best kind of oversight there is—consumer oversight. There is also a bizzare sense of entitlement when it comes to health insurance. How is having to make the choice between finding another gyn, or paying out of pocket for the gyn you like, or possibly (though in this over-regulated, non-competitive market this choice is harder than it should be) finding a new insurance provider that big a deal? Furthermore, it was your gyn who decided not to take that form of payment, not your insurance co denying you treatment or anything of the sort. Your gyn made a decision about what was best for her/his business, just like deciding to no longer accept Mastercard. My guess, too, is that there will be many docs refusing the low-ball compensation of a public option because they will not be able to afford their expenses on the compensation, which based on what we know from Medicaid and Medicare will likely be far below market value. Other docs may refuse it based on the hassle of dealing with gov. paperwork headaches and the potential of red tape getting in the way of patient care by restricting testing or imposing wait times for procedures, or imposing “guidelines” that effectively create one-size-fits-all medicine.
Consumers, business owners, entrepreneurs need to rethink health coverage—not the government. I am a business owner and provide the catastrophic/HSA plans that the current administration seems to disdain so much and I have to tell you I LOVE it, and after some getting used to, so do most of the people I know with it. The best thing about this sort of coverage is the fact that it puts the consumer, not a drone at Aetna or Public Option Health Plan or Medicare in charge. If I think $250 is too much for a well-child check, I the parent, because I pay the whole bill, am empowered to negotiate to get the best possible care for the best possible price for my kid. If I was not pleased with bedside manner or some other aspect, there is no list to choose from, no paperwork to mess with, all I have to do is find me a better doc, and I have yet to find one who isn’t thrilled to take a patient self-pay w/HSA because that’s cash-in-hand without paperwork and waiting to be reimbursed. Of course doctors have to be more careful with self-pay patients because we are not limited by what our insurance will cover in the way of routine care, so if we get bad service, we can remove our business from him/her faster.
The bill passed by the house does get some points from me for opening up markets across state lines, because increased competition nearly always results in better service for consumers. But I fear the majority of the bill will mean more restrictions on the type of healthcare I am able to offer and purchase, because the other mind-boggling restrictions would drive so many good companies out of the market. Furthermore, Rep Frank, President Obama, Speaker Pelosi and others have been blatant about their penchant for the completely unConstitutional mandates and their desire that the public option should lead to single payer healthcare, which would be a nightmare.

jenny tries too hard commented on Nov 09 09 at 8:08 am

Mandates to have insurance or pay a fine is the same as taxing people for simply being alive. Great, now we have a death tax and a life tax.

Anonimon commented on Nov 09 09 at 9:13 am

As much as I hate the government forcing me to have insurance, there are two reasons I can live with it, as a part of a decent health care package: Any time a person without insurance ends up in the hospital and can’t afford the astronomical bill, everybody else ends up paying for it. The second reason is that people who choose not to buy insurance are often healthy people willing to risk that they won’t get sick. Taking these people out of the risk pool makes the cost of insurance higher for everyone else. I know many people on here will disagree, but for me, I can see forcing everyone to have insurance as a “necessary evil.”

Samsmomma commented on Nov 09 09 at 12:00 pm

My god, what’s next? Will we have to get licenses to drive our cars?

snarky mama commented on Nov 09 09 at 1:25 pm

Exactly Samsmomma - if people choose not to get insurance AND not to be able to go to the doctor,that’s one thing. But essentially I’m paying for their healthcare at the highest price point in an already overburdened system. We make people get insurance to drive a car. I don’t see how this is different. Our health insurance is very expensive, but I chose to pay it so that my family can have healthcare. If you don’t want insurance, then hospitals should have the right to refuse you service you didn’t pay for.

Amy commented on Nov 09 09 at 11:35 pm

The idea of hospitals being able to refuse emergency services to uninsured(or unable to prove insurance) patients seems a bit creepy to me, and would deny children care based on their parents’ irresponsibility, not to mention the trouble for the undocumented…

I personally would favor expanding the debt-collection rights for hospitals. Let them garnish wages, sieze tax refunds, etc. the way currently only IRS and Attorneys General can. That way you could preserve the right of an individual to choose not to carry insurance, while still holding him or her more accountable for the cost of emergency care.
I don’t think the auto insurance/health insurance comparison really works for a number of reasons. Under the house’s plan, health insurance providers won’t be able to price according to risk the way auto insurance providers can. Also, auto insurance isn’t mandatory–you can choose not to drive, or you can choose to self-insure by setting aside a large sum of money in escrow. I can’t think of what a person could do to avoid mandatory health insurance. Auto insurance is also right now only expected to cover the big, unexpected expenses, while health insurance is expected to cover routine maintenance like check ups and teeth cleaning. That would be roughly equivalent to expecting your basic GEICO plan to cover oil changes, wouldn’t it? Finally, though, auto insurance is there to protect other people, not the policy holder. Auto insurance is mandatory because the law recognizes that people who choose to operate a large piece of machinery which puts other people at risk need to be held financially responsible for the damage that may be caused to other people’s property. The mandatory level of insurance does not pay for any damages done to the policy holder’s property or health, after all.

jenny tries too hard commented on Nov 11 09 at 6:49 pm

I think you are right. But you should cover more on this topic.

incammoro commented on Dec 22 09 at 9:00 am

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