The Truth of Obama Care

Obama anxiety 1 The Truth of Obama finagle the Statesn National Government/ POL201 Nicole Emery Instructor David Williams Obama C be 2The Truth of Obama trouble Obama Care is the unofficial name for The Patient Protection and inexpensive Care identification number which was signed into law on March 23, 2010. In a more than(prenominal) general sense Obama Care and the Health Care for America Plan or any such name is a reference to the ongoing wellness care reform under President Obama. (http//obamacaref defends. com/whatis-obamacare. php) The ACA is landmark legislation designed to increment access to health care coverage for millions of Americans. Wizemann,2011) This legislation represents one of the largest and most comprehensive reforms to the American health care scheme since the economy of Medicare and Medicaid in 1965. The ACA seeks to extend coverage to roughly 50 million uninsured Americans, slowing down the festering in the cost of health care, and improving the quality of care health care by changing the delivery system. ( Some people who oppose the Act are concerned that it gives the Federal government withal much control over personal health care decisions and benefits, forcing a complex one-size-fits-all health system onto the states.Some people who are in favor of the Act want lower health care cost overall by making it affordable for more people. The Patient Protection and Affordable Care Act of 2010 significantly changed health care in the U. S. , making insurance available to 32 million more Americans a total of 95% of the legal population. The Act, is being phased in over four years. By 2014, either citizen impart be required to have health insurance, or face a penalty. However, they can consider how to get coverage.If they already have a plan, either through their employers, Medicaid, Medicare, or privately, they can keep it. Those who cant before long get health insurance volition have additional options. They can pur chase it from a state-based health insurance exchange (and possibly get subsidy) or they may be eligible under expand Medicare guidelines. Obama Care 3 The program is originally designed to add to the federal budget $930 billion dollars.The act was designed to offset the budget by lowering payments to hospitals, Increasing Medicare taxes on higher income signboardholds, assessing penalties on employers who dont offer, and individuals who dont take, health care insurance, assessing taxes on various health related activities, and reducing overhead by consolidating the higher learning loan program with the Pell Grant program. Although there has been tremendous opposition before during and after its becoming law, the self-governing Court ruled it was constitutional that all U.S. citizens must purchase health care insurance from a private carrier, or pay a penalty, is for the right for congress to impose a tax. Even with our house of representatives trying numerous times to repeal th e law and still keeps getting over ruled. The opposition has been so great that many Americans think the law has already been repealed. I am sure you are intercommunicate yourself what does this mean, when does this come to affect and how does this affect you? Here are the changes that happened in 2010.Medicare beneficiaries who fell into the Medicare Part D prescription medicine Drug donut hole call ford a $250 rebate. They received a 50% discount on brand name drugs in 2011 and the doughnut hole are eliminated in 2020. Children were allowed to stay on their parents health insurance until they turn 26. New private plans were required to cover preventive operate with no co-payments, and they are exempt from deductibles. Consumers who applied to new plans have access to an external appeals process if coverage is denied. Insurance ompanies were forbid from dropping coverage if someone got really sick. They couldnt create lifetime coverage limits. They could no longer abnegate co verage to children with pre-existing conditions. The same allow for apply to adults in 2014. Until then, adults with pre-existing conditions who have been denied coverage lead get access to temporary health insurance coverage until the exchanges is set up. These are the changes that happened in 2011Medicare-covered halt services were Obama Care 4 xempted from deductibles and the co-pay was eliminated. Insurance companies must prove they spent at least 80% of the premium payments on medical services, rather than on things like advertising and executive salaries. Those that didnt were required to impart rebates to policyholders. States were funded to require health insurance companies to submit justification for all rate hikes. Funds were expanded to increase the number of doctors and nurses, and more community health centers enough to double the number of patients they can treat in the next five years.These are future changes to look forward to. Medical expenses must be at leas t 10% of income before they are deductible for those under 65. Manufacturers and importers of medical devices will pay a 2. 3% excise tax. Federal funds will increase to allow Medicaid to offer free preventive services, and to extend CHIP for an additional two years. The Federal government will fund states to pay simple care physicians 100% of the Medicare fee. Medicare will start a pilot program to encourage hospitals to bundle services before submitting for payment.Additional taxes will be paid by the 1 million people who make more than $200,000 and the 4 million couples filing jointly who make more than $250,000. Specifically, they would pay 3. 8% Medicare taxes on dividends, capital letter gains, rent and royalties and 2. 35% (up from 1. 45%) Medicare taxes on income. In 2014, the state-run health exchanges will be set up. Medicaid eligibility will be expanded to include those with incomes up to 133% of the Federal poverty line ($29,000 for a family of four). New subsidies wil l become available for with incomes up to 400% of the poverty level ($88,000 for a family of four).Those who dont purchase insurance will be assessed penalties 2014 The greater of $95 or 1% of income. 2015 $325 or 2% of income. 2016 $695 or 2. 5% of income. Businesses with 50+ workers must pay $2,000 per worker (except for the first 20) if they dont offer health insurance. Those that do receive a tax credit of 50% of the premium cost. (Donmoyer, 2012 ) Obama Care 5 References Wizemann, Theresa.Health Literacy Implications for Health Care correct Workshop Summary. Washington, DC, USA National Academies Press, 2011. p 5. http//site. ebrary. com/lib/ashford/Doc? id=10488622ppg=19 Copyright 2011. National Academies Press. All rights reserved. http//obamacarefacts. com/whatis-obamacare. php The Affordable Care Act Turns Two,Lee Goldberg, Sabiha Zainulbhai, http//www. nasi. org/discuss/2012/03/affordable-care-act-turns-two? gclid=CLOuyv-9vrICFURxQgod3TwALA March 2012 HealthReform. g ov, Ryan Donmoyer, New Health Care Taxes, Bloomberg, March 22, 2010) Article