Wednesday 24 March 2010

there's a lake of stew and soda-pop too and you can paddle all around in a big canoe

On Sunday, Obama pushed through the much simonized the Patient Protection and Affordable Health Care Act, and I have hope that this is a good thing for America.  A lot of compromise and negotiation went into this and are still to come, surely there are more to come with Senate input.  I just hope that this does not go the way of other recent, historic overhauls like the Department of Homeland Security or Rumsfeld's mad-bomber approach to reforming the civil service system with NSPS (National Security Personnel System), which is now being rescinded or the half a dozen changes of nomenclature promulgated by the Ministry of Revisions.  One can read the full text from the Library of Congress here.
There has been a virtual landslide of commentary on both sides.  Here is a bit of point/counterpoint.  First Reuter's News Services issued this fact box with a timeline.

...WITHIN THE FIRST YEAR
-Insurance companies will be barred from dropping people from coverage when they get sick.  Lifetime coverage limits will be eliminated and annual limits are to be restricted.
-Insurers will be barred from excluding children for coverage because of pre-existing conditions.
-A temporary reinsurance program is created to help companies maintain health coverage for early retirees between 55 and 64.
-Medicare drug beneficiaries who fall into the "doughbut hole" coverage gap will get a $250 rebate...
WHAT HAPPENS IN 2011
-Employers are required to disclose the value of health benefits of employees' tax returns...
There is a virtual landslide of commentary on both sides, and here is a little bit of point/counterpoint.

Investors' Digest Daily has issued the counter-argument:
-You are young and don't want health insurance?  You are starting up a small business and need to minize expenses, and one way to do that is to forego personal insurance?  Tough.  You have to pay $750 per annum for that "privilege."
-Health insurance companies will no longer be able to underwrite on the basis of a person's health status.
-Health insurers will no longer be able to offer policies that do not cover preventive services or offer them cost sharing, despite customer wishes.
-As a hospital administrator, you can only expand your facility if and only if it is located in a county whose population has grown 150% in the last five years proportionally to the population of the surrounding state.
-Employers can no longer offer flexible spending plans, even if that's what the worker wants.

H and I talked about these developments a little bit, and suspects that German who abandon its social healthcare system, if they could get away with it, no matter how equitable it is.  I just hope there is some convergent evolution on the part of America.