health insurance
lborkowski | October 19, 2012by Kim Krisberg
At Palm Beach Groves in Lantana, Fla., a small, seasonal business that ships fresh citrus nationwide, employees have regularly voted between getting a raise or keeping their employer-based health insurance. Health coverage always wins, as many employees' ages and pre-existing conditions would have made it nearly impossible to get coverage on their own.
In her 12 years with Palm Beach Groves, general manager Louisa McQueeney has seen insurance premiums go up anywhere from 12 percent to 32 percent a year. Coverage for her family alone — herself, her husband and daughter — was $1…
oracknows | October 18, 2012The 2012 election campaign is in full swing, and, for better or worse, health care is one of the major defining issues of the election. How can it not be, given the passage of the Patient Protection and Affordable Care Act (PPACA), also colloquially known as "Obamacare," was one of the Obama administration's major accomplishments and arguably the largest remaking of the American health care system since Medicare in 1965? It's also been singularly unpopular thus far, contributing to the Republican takeover of the House of Representatives in the 2010 elections, as well as the erosion of…
lborkowski | July 20, 2012by Kim Krisberg
Legislative attacks on women's health care are so commonplace these days that they make proposals that don't include a state-mandated vaginal probe seem moderate.
In fact, so many legislators are introducing proposals under the guise of protecting women's health (2011 marked a record number of reproductive health restrictions), that it was pretty refreshing to read how the Affordable Care Act will actually protect women's health. Like, for real.
Last week, the Commonwealth Fund released a report finding that the health reform law is already making a difference in the lives of…
cmonforton | April 24, 2012Just as Republican lawmakers have been hyping the virtues of purchasing private health insurance----versus the evils of "Obamacare"----my husband Jim and I needed to do just that. I had been writing a check for $659 each month to maintain health insurance coverage under my former employer's plan, as provided by COBRA. After 18 months, it was due to expire. The time had come for us to venture into the Republicans' fantasy land of the free marketplace for health insurance. We took a deep breath and dove in.
The first thing we learned is that you don't really purchase health insurance. You…
denialism | March 26, 2012With the Supreme Court hearing arguments for the next three days on the Affordable Care Act, many commentators, including Dahlia Lithwick appear to have so much contempt for the Roberts court that they believe the issue will likely be settled on politics rather than law.
The first proposition is that the health care law is constitutional. The second is that the court could strike it down anyway.
...
The law is a completely valid exercise of Congress' Commerce Clause power, and all the conservative longing for the good old days of the pre-New Deal courts won't put us back in those days as if…
denialism | March 23, 2012We've already extensively discussed why it costs twice as much for the US to provide healthcare for it's citizens all the while failing to cover health care for all. Most recently, we discussed the hidden tax of the uninsured and the perverse incentive structure of US healthcare which encourage costlier care, more utilization, and more procedures.
To summarize, the US spends more on healthcare compared to other industrialized nations because
We deliver it inefficiently
Without universality problems present when critical and in the ER
Fee-for-service incentives in the form of excessive…
denialism | March 22, 2012With the impending, and unprecedented, 3 days of arguments over the Affordable Care Act occurring early next week, it's interesting to see that the test case being used to challenge the law has now become a test case demonstrating the necessity of the law.
Mary Brown, the woman who asserts no one has the authority to make her buy health care is now bankrupt, at least in part due to medical bills. From theLA Times article:
Mary Brown, a 56-year-old Florida woman who owned a small auto repair shop but had no health insurance, became the lead plaintiff challenging President Obama's healthcare…
lborkowski | March 20, 2012Friday will be the two-year anniversary of the signing of the Affordable Care Act, and there's plenty of discussion about the law's impacts and the upcoming Supreme Court oral arguments. While many of the law's provisions won't take effect until 2014, it's already having an impact on some aspects of health insurance. I described several of these in a post on the law's one-year anniversary, so now I want to focus on two recent stories that underscore the difficulty and importance of changing how the US handles health insurance.
First, it's important to remember that the law isn't an overhaul…
denialism | February 13, 2012We've written quite a bit about single payer health care systems as well as other models that are a mixture of public and private spending.
We've also analyzed some of the sources of excess cost of US healthcare to other countries. What is uniformly true about universal health care systems is that they all spend less on medical care per capita than the US. The next nearest country in spending to us, France, spends 50% of what we do per capita while providing top notch care, possibly the best in the world. And while the cause of our excess costs are multifactorial, one of the greatest…
lborkowski | December 14, 2011Following up on last year's nine-minute animated video explaining the Patient Protection and Affordable Care Act, the Kaiser Family Foundation has produced a new interactive feature that gives examples of how different individuals' situations will change (or not) in 2014 when the law is fully implemented. Click on character - 23-year-old uninsured graphic designer Phil Butler, the Santos family who gets insurance through work, etc. - or an employer to get the details about how the individual or family's situation will change. In some cases, like when a person gets health insurance through an…
lborkowski | March 23, 2011Exactly one year ago, President Obama signed into law the Patient Protection and Affordable Care Act - the most sweeping change to US healthcare since the legislation that created Medicare and Medicaid in 1965. The law's most important achievement is its creation of a system that will slash our nation's shameful uninsurance rate by an estimated two-thirds once it's fully implemented.
Public opinion on the law is still mixed, and that's likely due to two things. First, many of the law's provisions won't kick in until 2014. Second, for those of us with a reliable source of affordable health…
lborkowski | December 14, 2010Yesterday a federal judge struck down the new healthcare law's individual mandate, which requires everyone to have health insurance. (Actually, the mandate doesn't apply to everyone: those who'd have to spend more than 8% of their income on coverage are exempt, as are undocumented immigrants - and if you don't have coverage, you pay a fine.) US District Judge Henry E. Hudson ruled that the individual mandate is unconstitutional, but he did not strike down other portions of the law or issue an injunction against its implementation. Two other district court judges have found the mandate…
revere | March 21, 2010The US House of Representatives is scheduled to vote on one of the many required, but in this case crucial, steps to beginning an overhaul of the chaotic situation of American health care. By all accounts the vote is close, which is really pathetic. What is being proposed in the US is a baby step in absolute terms, although it is huge in terms relative to the historically backwards and reactionary character medical care in the US. I hope it passes, since not passing it would leave tens of millions without insurance of any kind and most of the rest of us insecure about the coverage we have.…
revere | February 13, 20102009 was a dismal year, economically speaking -- unless you were a health insurer:
If no health care overhaul passes Congress, health insurers may be in for a windfall -- and one far larger that most Americans probably realize.
According to a study by a pro-health reform group published Thursday, the nation's largest five health insurance companies posted a 56 percent gain in 2009 profits over 2008. The insurers including Wellpoint, UnitedHealth, Cigna, Aetna and Humana, which cover the majority of Americans with insurance.
The insurers' hefty profit gains came even as 2.7 million more…
revere | February 1, 2010If you want to know why I despise every Republican Senator and Democratic Senators Ben Nelson, Evan Bayh, Blanche Lincoln, Max Baucus, "Independent (of morals)" Joe Lieberman and probably a bunch more whose names I am repressing, it's because they enable and support and help entrench as the bedrock of our health care system, insurance companies. Here's what these companies are like:
A Boulder County jury has ruled that a health insurance company must pay $37 million to a Lafayette woman whose health insurance policy was canceled after she was seriously injured in a car accident.
The insurance…
revere | January 6, 2010Rush Limbaugh has done a personal biopsy of the US health care system and found it healthy:
"Based on what happened to me here, I don't think there is one thing wrong with the American healthcare system. It is working just fine," he said.
Limbaugh, a multimillionaire, said he got no special treatment, but the staff made his stay "almost like a hotel." (Reuters via ABC News)
What "happened to him" was that the obese 58 year old media bloviator with enough internal rage to kill a dozen normal sized people was afraid he was having a heart attack and called his girl friend, Kathryn Rogers, to let…
revere | December 20, 2009We're only just learning some of the crap that's in this health care deform compromise/giveaway to the insurance industry, but some of it has come out (via the Manager's Amendment .pdf [and I admit I don't exactly know what this is except it contains legislative language allegedly in the bill]). For starters, rest easy. Your fucking guns are safe. If you are a woman, no similar concessions to your uterus (h/t McJoan at DailyKos).
One of the things we are told by apologists for this monstrosity is that it has all sorts of great provisions for prevention and wellness promotion. I'm in public…
revere | December 19, 2009We are on record as favoring single-payer health care and taking certain things like vaccines out of the market system, but beyond that we don't do much health care politics here. But we have opinions, like everyone does, opinions formed by working for more than four decades within the health care and public health professions. Other than that, we are like most of you. Consumers of health care with our own particular view of the world. And since everyone else seems to be talking about it, so will we. At least we will today.
Everyone knows that what Republicans hate and fear about health care…
revere | November 20, 2009Swine flu is a special danger to the young, but the biggest danger to the young is not an infectious disease but unintentional accidents. No matter what your age accident is among the top ten causes of death, but for those between the ages of 1 and 44 it is number one. Prevention oriented accident specialists are fond of saying that "accidents are no accidents," by which they mean that many accidental deaths are in some sense avoidable, not freakish twists of fortune. So wear your seat belts and don't go golfing in lightning storms. And while you're at it, have health insurance, since there…
revere | October 25, 2009Al Franken may have made his name as a comedian on Saturday Night Live, but as a Senator (D-MN) he's a force to reckon with. In this clip from hearings this week he nails a witness from the right wing Hudson Institute pimping for the health care industry. Her claim? That health care reform would lead to more bankruptcies. He makes his point and thanks the witness, but she tries to score with a question of her own. Bad move. It turns out Franken knows the answer:
Smart, serious, prepared. Live from Washington, DC. It's not Saturday Night Live!
Addendum, 1 pm EST: Just had to take my son-in-…