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Obamacare

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by

Hayley Benson

on 18 December 2013

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Transcript of Obamacare

Obamacare
How does Obamacare affect you?
Effective January 1st, 2014, Individual Mandate goes into effect
Must have at least some form of basic health coverage.
Tax penalty will be applied on annual taxable income at the end of the year for every month without health care
The Obamacare Health Care Reform extends from 2010 to 2020
Functions of the Law
Social Control
Maintaining every aspect of the health care system
Requiring everyone to have health insurance
penalty
Large employers are required to provide health insurance
Employer Shared Responsibility Payment
What is Obamacare?
The official name is, "The Patient Protection and Affordable Care Act"
Signed in to law March 23, 2010 by President Obama
Created to reform the health care system
Provides new benefits, rights, and Protection in regards to health care by setting up Health Insurance Marketplace.
Functions of the Law
Social Change
Provide affordable health insurance for all
Large employers
Expands Medicaid
Increase in taxes
"Grandfather" in current health insurance

Barriers to Social Change
Social
Psychological
Cultural
Economic
People's Opinions
Social Factors
vested interests for different individuals
social class stratification
organized opposition

Psychological Factors
habits we are used to
ignorance & misinformation
motivation
- Has her own private insurance
- “They can’t keep the government open”
- Fix the current medical program by making it more affordable.

A patient:

Cultural Factors
A patient:
- The government should have focused on people who don’t or can’t afford a medical coverage.
- Prices should have be more competitive in order for the government to come up with better outcomes

ethnocentrism
the belief that one's way of thinking or behaving is better than all others
Economic Factors
the most influential
uses cost/benefit analysis
individuals attempt to avoid extra costs
$52 billion dollars in taxes on small businesses
A pharmaceutical sales
- Certain for some parts of Obamacare
- Some patients will not be able to afford certain types of therapies or treatments

Medical office manager
- Both positive and negative impacts
- Positive: Everyone will have medical insurance
- Negative: It will reduce the time doctors have to see patients

Dysfunctions of the Law
Restrictive aspects of normative control
Completely into effect until 2022
March 31, 2014 deadline
Penalty increases yearly
1% of your income
Adults = $95 Children = $47.50 Max = $285


Rigid Normative Framework
Low income better off paying penalty
Save Money
Certain states are not expanding Medicaid
No penalty = No health insurance




Middle Class
Functions of the Law
Dispute Settlements
Prevention of being dropped
eliminate discrimination
"Minimum Coverage provision" (MCP)
Remove "donut hole" coverage gap by 2020
You and your plan : $2,970 on covered drugs in 2013
Extra Help with plan D cost
Subsidy burden
Higher premiums
Forced to buy better health care
Andrew Herndon—personal story
A pharmaceutical sales:
- For what the government is doing
- Not certain about how the outcomes will turn out
- Obamacare will affect her business in having less usage of brand medications in which she sells

Personal Stories
Roxanne K.
North Carolina

- Was diagnosed with breast cancer.
- Uninsured
- Inclusive health plan covered everything
- Estrogen blocking drug was $89, after the plan it became $10

Brittany
- She is 20 years old
- Fiancé was 25 and did not have insurance
- He was now covered under his dad’s insurance.

Dysfunctions of the Law
Dysfunctions of the Law
"Donut Hole" coverage gap until 2020


Eileen P.
- She was recently told that her health plan will be canceled
- Joanna has rare neurological disease since she was 3 months old
- 86 surgeries since this diagnosis
- Health plan terminated completely
- Increase her premium $1000
- Cutting her Joanna to her current hospital and doctor.



Bill Elliott,
- Has cancer
- “Let nature take its course”
- Pay $1,500 per month plan under Obamacare

Dysfunctions of the Law
Inherent Discrimination
Middle Class
premiums increased
No medicaid
Essential needs and paying the penalty or health insurance?

How does one start Receiving Benefits?
You can apply 4 Ways
By written application, by phone, online, and in person
Open enrollment
Obamacare applies to most except undocumented immigrants
Why do sociologists care?
Health care can greatly impact our lives
Obamacare affects everybody in U.S. society in some way
It impacts different social groups in different ways

How does Obamacare impact different social groups?
Expands Medicaid
Subsidies from federal government
Discounts through Health Insurance Marketplace
Young & Healthy vs. Old & Unhealthy
Limits age-related higher premiums
Saves money for those over 50
Raises rates for young and healthy
Those who don’t have high medical costs help pay for people who do
Doctors and Hospitals
Increased demand for medical services
Current shortage of doctors & nurses—additional strain
Direct physician care—not through ER
Higher demand for preventative care
Small Business Owners
Timeline
Fewer than 50 employees
Not required to provide coverage under Obamacare
Under Obamacare, regulations often result in termination of health plans
Many small businesses renewing health care plans before Jan. 1st
Government claims small businesses will not be greatly impacted
However, the cost to provide insurance does severely increase
2010- Individual insurance plan must allow children up to 26
2014- Individual mandate
2015- Employer mandate ( 50> employees must provide health insurance)

Lower class:
Full transcript