Whats in the Health Care Bill

Below is the first of a two-part series on the Democrats bill, HR 3590 – the health care reforms.

Health care reform in the United States has finally arrived.

After years of debate, President Barack Obama signed HR 3590 into law on March 23rd, 2010, heralding a new chapter in health care for millions of Americans.

The Democrats are ecstatic over the win. But is this really a victory for the American working class?

Lets take a look.

Health Care Reform’s History:

Health care reform, or “Obamacare” as it’s sometimes called, has its roots in Hilary Clinton’s own health care battle of the 1990′s. But it may surprise you exactly where in that debate its major ideas come from.

No, it wasn’t Hilary’s legislative proposals which inspired Obama’s  reformation – it was in fact Republican proposals which formed Obama’s health care overhaul. Specifically, it was a health care strategy first articulated by the conservative think tank the Heritage Foundation. You can still read the original plans here and here.

Notably, amongst its original supporters were Richard Nixon, George Bush senior and even Mitt Romney.

Amongst their proposals were the creation of an “individual mandate,” and the founding of “insurance exchanges” – both of which are now pillars of the Democrats’ reforms; but originally, the republicans supported them as good “free market” alternatives to government entitlement programs like Medicare.

This is precisely why Obamacare passed where numerous other health reform efforts failed. It was a good, free market option that CEO’s could get behind. “Government is,” after all “the shadow cast by big business over society,” as John Dewey once remarked.

That being said, lets take a closer look at the contours of this new silhouette on the next page.

About these ads

9 Responses to “Whats in the Health Care Bill”

  1. Hey Schalomlibertad.

    The Congressional Budget Office estimates that roughly 19 million people who shop for insurance on their own by 2014 will qualify for some type of insurance subsidy.

    The subsidies themselves will be doled out for anyone living on 400% of the poverty line or lower – so, for a family of four, $88,000 or lower.

    The subsidies will help insure that no one in that group will have to pay more than 10% of their income for a decent insurance plan. As the incomes go down, so does the percentage they must pay (the lowest is nearly 3%).

    As to immigrants… They mostly get screwed, as usual.

    Documented immigrants, in most cases, will be allowed to qualify for subsidies.

    Undocumented immigrants, however, are barred from purchasing any insurance, even if it is not state funded.

    Hope that helped,
    -John

  2. Agreed, great work! I am wondering if I can republish this in the May issue of the Industrial Worker? Also, when will Part 2 be out? Can you email me at iw [at] iww.org? Thanks!

  3. Hi John,
    Nice piece! Would I be able to publish this in the May Industrial Worker? Also, when do you plan to have Part 2 out? Could you email me and let me know? iw [at] iww.org. Thanks!
    Solid,
    Diane Krauthamer
    Editor, Industrial Worker

  4. Republished over at Molly’s Blog (http://mollymew.blogspot.com ). Also promoted under ‘Politics’ in the Reddit aggregator. Hopefully this will get you a few readers. Article first seen at the LibCom site. Very good article. Good luck on your blog (added to the Molly’s Blog links under ‘Blogs’).
    mm

  5. Good going John John! I am in agreement.

  6. While I don’t entirely disagree with what you are saying I am sadly disappointed by your one sided analysis of this bill.

    The reason why costs will drop is because massive subsidies and funds will be providing/paying for low income health insurance.

    Hence while the actual cost of healthcare may go up, the amount that low income families (or those making under 40 thousand dollars a year) will pay will drop drastically or be provided free of charge.

    Also I wouldn’t put much merit on what Jane Hamsher writes. “A family of four making $66,370 will be forced to pay $5,243 per year for insurance. After basic necessities, this leaves them with $8,307 in discretionary income — out of which they would have to cover clothing, credit card and other debt, child care and education costs, in addition to $5,882 in annual out-of-pocket medical expenses for which families will be responsible.”

    Where does she get these statistics? A) 66000 dollars per year is sadly well above the median income in America. B) Healthcare costs account for less than 10% of costs for that family C) There is no break down of ‘basic costs’. I would be interested to see what these costs are that suck out 50k a year but fail to provide clothing, debt or educational costs. And still spend 6k a year on out of pocket expenses? What insurance plan are they on? D) In most states it is already a mandate for children to have some form of health insurance.

    By including a voice from a blog that sponsored a “Kill the Bill” movement and presenting her viewpoint as a balanced third party opinion, you bring her own bias unto your own.

    I would prefer to see a good example of journalistic integrity. Instead you just simply seem to be cherry picking information to support your own opinions rather than encouraging an honest debate.

    • Hey Brandon.

      Yes, the bill will subsidize lower income individuals and families, and help many of them purchase insurance policies.

      But as you point out, subsidizing families’ insurance doesn’t make the cost of insurance, or of health care, drop. So selling health care on that platform, as the Democrats did, is misleading.

      You’re right that 66,000 is above the median income of most American families, but as of 2008, health insurance premiums in the U.S. as a percentage of median incomes were around 17.2%, not 10%.

      The figures add up – total health care costs in an area like Boston where the median income is around 66,oo0 – would add up to around ten or eleven thousand dollars for a family of four at 17.2%. And in many areas of the country, the costs of living as a percent of are as high as in this example – Boston, again, comes to mind.

      Finally, if my article wasn’t balanced enough for you, your inputs here should hopefully balance it out for the readers.

      In solidarity,
      -John

      • Thanks for the analysis, the question by Brandon, and the follow-up. Are there ideas about how many people will actually be covered by the subsidies, or is it still very much up in the air? Also, how will undocumented immigrants be effected by the bill? Would be interested in know how wide it´s coverage really will be.

Trackbacks

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Connecting to %s

Follow

Get every new post delivered to your Inbox.

Join 67 other followers

%d bloggers like this: