Originally posted by: miniMUNCH
Originally posted by: spidey07
Originally posted by: Carmen813
I found the bill and read through it. As you said in your edit, this article is basically a fallacy.
Private plans that are not grandfathered in must meet the new government requirements. This includes the elimination of pre-existing condition clauses, participation in a national insurance exchange program, guaranteed issue and renewal of plans, new rules on premiums, nondiscrimination in benefits and providing of adequate mental health and substance abuse coverage, and other services specifically outlined in the bill. That's my quick summary, there is more, I didn't read all of it.
I found all of this at my Congressman's website, the entire bill is posted for us to see.
http://massa.house.gov/uploads/HR3200.pdf
Great, all the reasons you listed are why insurance is skyrocketing. And this bill is supposed to fight cost (the so far ONLY REASON UHC supporters can come up with, if you really press them all they can come up with are cost and ineffiency).
Can you please PM me your congressman's name so I can tear him a new one?
Actually found some good stuff in the bill, to my surprise...
SEC. 116. ENSURING VALUE AND LOWER PREMIUMS.
18 (a) IN GENERAL.?A qualified health benefits plan
19 shall meet a medical loss ratio as defined by the Commis-
20 sioner. For any plan year in which the qualified health
21 benefits plan does not meet such medical loss ratio, QHBP
22 offering entity shall provide in a manner specified by the
23 Commissioner for rebates to enrollees of payment suffi-
24 cient to meet such loss ratio.
So HI plans will be held to a medical loss ratio... fantastic.
There is also a gem of not helping "undocumented aliens" pay for UHC... but we are gonna pay for their clinic visits and whatnot? I'm cool with ER treatment... followed by a INS visit but... oh well, fuck it.
One thing that bugs me is that all the details of what margins HI can operate under, what constitutes a qualifying HI plan and a shit ton else is being left up to discretion of the "Comissioner" who is a political appointee of the President. Senate consent. I have not read anywhere near the whole bill, not even close but from i have read (first 100 pages or so... I don't like it.
They are leaving all the details to be decided upon by some dude and his posse... and really, when it boils down to it, by the POTUS. I don't like it at all. So now the POTUS will be the chief executive officer of the US healthcare system too?