The politics of the national health reform debate has been brutal. Despite the majority of Americans expecting Congress to significantly reform our dysfunctional health care system, a minority of obstructionists in Congress have sought to do the bidding the powerful special interests that fund their reelection campaigns, namely the health insurance and pharmaceutical industries, and protect the status quo.
The health insurance industry is expected to spend more than $10 million this year to defeat reform and are using 50,000 paid lobbyist (contract lobbying firms and their own employees). The pharmaceutical industry is expected to spend even more, with about 2,000 lobbyists (no evidence it is using regular company employees to lobby). Despite this tremendously influential power, efforts have from ordinary Americans have not been for naught.
The following has been under-reported and has all but been lost in coverage in recent weeks: the cost of the current health care system is $2.4 trillion and this figure has been and will continue to rise about 7 percent each year. This is not a projection; this is a proven trend that will only get worse if we do not reform the system now. Many economists project long-term debt reduction with reform. The US spends double per person on health care than any other capitalist democracy. An irony not to be missed is that these other countries cover everybody; by contrast, we have 47 million uninsured and rank lower than other countries on a range of health outcomes. One thing just about everyone agrees passes the common-sense test is that doing nothing equals “head in the sand.”
Both chambers of Congress actually agree on major improvements to the current system and these are expected to be in the legislation that President Obama signs. Here are ten significant improvements:
1. Peace of mind for 30 million Americans, who will no longer be uninsured and will have access to guaranteed affordable coverage.
2. Security for all Americans because everyone will be guaranteed comprehensive benefits. Health insurers operating in the individual and small group markets will no longer be allowed sell subprime policies that deny coverage when illness strikes and you need it most.
3. Moves us toward financial responsibility by reducing overall spending on health care and thus help reduce the deficit. Analysis concludes reform would not increase the national debt, rather, would reduce the debt by as much as $408 billion over a decade.
4. End discrimination by insurance companies as they will not longer be able to deny or drop coverage due to pre-existing conditions. They won’t be allowed to cherry pick only healthy people to cover, or rescind coverage, or impose lifetime or annual limits on policy coverage.
5. Reduces the cost burden for most Americans. Analysis projects an 8.4 percent reduction in premium costs, overall.
6. Low- & middle-income Americans will not go without coverage and will not go broke due to lack of coverage or struggling to afford coverage. All adults and children at or below 133 percent of poverty ($26,000/family of 4) will be insured through Medicaid. Those above and earning up to 400 percent of poverty ($88,200/family of 4) will be offered subsidies to help afford premiums.
7. Prevention will be taken seriously. The Prevention and Public Health Fund will support public prevention programs to prevent disease and promote wellness.
8. Protects seniors and improves Medicare. Reform eliminates the waste and fraud in the Medicare system, gets rid of the special subsidy to private insurers participating in Medicare Advantage, extends the life of Medicare, and closes the doughnut hole.
9. Small Businesses will finally get some relief. Small businesses will get tax credit to help provide coverage to employees and will have access to the Exchange to shop for the best plan for them.
10. Provides parents and young adults peace of mind. Children will be able to continue coverage on family policies up to age 26.