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Transcript of Obamacare
50 million uninsured
Massive variation from one town to the next in the treatment of the same ailment
leads to massive variation in the cost of treating the same ailment
Some people are denied insurance because of a pre-existing condition
Because of socio-economic status, some Americans could not afford basic healthcare (Obamacare) How Could These Problems Be Fixed? $2.6 trillion industry
30% of healthcare costs are unnecessary
Reduce larger programs while still allowing them to provide exceptional care
Put every area on an even playing field The Solution: Obamacare Patient Protection and Affordable Care Act Introduced to House as "Service Members Home Ownership Tax Act of 2009" By Charles Ragnel (D-NY) September 17, 2009 Originally considered by House Committee on Ways and Means Passed by House on October 8, 2009 Vote: 416 0 to Dems: 243 Repubs: 173 16 did not vote Yet the House's bill was passed as a bill regarding housing tax breaks for service members When the bill was moved to the Senate, it became the vehicle for healthcare reform Senate rewrites bill with new amendment
Threats for filibuster by Ben Nelson (R-NE)
Adds amendment: Health Care and Education Reconciliation Act of 2010 Vote: 60 to 39 Dems: Repubs: 58 39 2 Independents 1 did not vote House agrees to amendment March 21, 2010 Vote: 219 to 212 Bill signed in by Obama on March 23rd, 2010 The following day, Republicans introduced legislation to repeal the bill CBO estimates reduction of uninsured residents by 30 million, leaving 25 million uninsured residents in 2019 after all provisions take effect Provisions (in order of enactment): Will not be denied because of a pre-existing condition
Department of Health and Human Services is formed
10% sales tax on indoor tanning
Insurers are prohibited from imposing lifetime dollar limits on essential benefits
Dependents (children) will be permitted to remain on their parents' insurance plan until their 26th birthday
All new insurance plans must cover preventive care and medical screenings, including contraceptives
Insurers must spend 80% or 85% of premium dollars on health costs and claims
Income from self-employment and wages of single individuals in excess of $200,000 annually will be subject to an additional tax of 0.9%
Individual mandate- you MUST have health insurance or pay a tax Alternate Policies: Clinton: require all Americans to obtain coverage (in effect, an individual health insurance mandate) Romney: block grants to states for Medicaid and new tax incentives would result in 17.9 million people age 19 and under to be uninsured by 2022 How involved was the President? Obama was highly criticized for his support of this bill, hence the nickname: OBAMACARE.
Orginally a mocking term, Obama adopted the name to show his paternal feelings towards the bill.
He passed Executive Order 13535 to gain support for the bill
Obama was one of the main sponsors of the bill, becoming a defining point in his presidency Cost: "CBO and JCT now estimate that, on balance, the direct spending and revenue effects of enacting H.R. 3590 as passed by the Senate would yield a net reduction in federal deficits of $118 billion over the 2010–2019 period" "Approximately $65 billion of that reduction would be on-budget; other effects related to Social Security revenues..." $1.1 trillion net cost High Risk Pool: $63 dollar fee on insurance plans (it decreases every month until 2017) Don't want to get insurance? 1% tax in 2014
2.5% tax in 2016 * Original cost estimated was: net reduction in deficits of $132 billion, of which approximately $81 billion would be on-budget Issues and Impact: Due to the effect of the U.S. Supreme court ruling, states can opt-in or out of the expansion of Medicaid The United States Department of Health and Human Services reported that the bill would increase "total national health expenditures" by more than $200 billion from 2010 to 2019 Medicare cuts could put nearly 15% of hospitals and other institutional providers into debt Covers all contraceptives- even at Catholic and Christian Hospitals Controversy! In favor: 44% of Americans Against: 56% of Americans 75% of Democrats, 27% of Independents, and 14% of Republicans The Supreme Court upheld the individual mandate, perhaps the most controversial provision of the law, but limited the expansion of Medicaid initially proposed under PPACA The Richest Americans Are Going to Pay More Taxes
Insurers' Overhead – and Profit Margins -- Are Limited
The government shouldn't tell private citizens what to do
"Communism" aka putting everyone on an even plane National Federation of Independent Business v. Sebelius Effectiveness and Next Steps The Census Bureau reports that fewer Americans are now going without health insurance Expansion of Medicare Other provisions enacted Continuing controversy and attempts to repeal the act Works Cited: Bernstein, Jonathan. "Good News: Obamacare Is Having a Real Impact on Real People." Washington Post. The Washington Post, 12 Sept. 2012. Web. 07 Jan. 2013.
"Cost of ObamaCare: Obama Care Cost." Cost of ObamaCare: Obama Care Cost. N.p., n.d. Web. 07 Jan. 2013.
"Report: Romney vs. Obama's Health Plans." UPI. N.p., n.d. Web. 07 Jan. 2013.
"U.S. Health Care: The Good News with Correspondent T.R. Reid." PBS. PBS, n.d. Web. 07 Jan. 2013.
USA. Congress. CBO. Congressional Budget Office. By Harry Ried. N.p., n.d. Web.
USA. House of Representatives. Clerk. FINAL VOTE RESULTS FOR ROLL CALL 768. House of Representatives, n.d. Web.
"What's Next for 'Obamacare'?" MedPage Today. N.p., n.d. Web. 07 Jan. 2013. A Prezi by Hancie Stokes In Favor: Nancy Pelosi
Harry Reid Against: Mitt Romney