123 Matching Annotations
  1. Mar 2018
    1. It is important to note at the outset a common misconception--countries with universal health care are not restricted to having government-funded health care; rather, it is possible to have both public and private medical insurance systems

      !!!!!!!

    2. Outside of the US, the vast majority of industrialized nations--defined, generally, as developed countries that rely on industry and produce substantial gross domestic product--offer some form of universal health care.
  2. Feb 2018
    1. 12.7 million Americans received health coverage through the marketplace.

      but people commonly complain about having to go through the marketplace- its creating more of an opportunity though

    1. Many found out their plans had a low maximum. They were responsible for any costs above that. That's one reason why health care became the No. 1 cause of bankruptcy.

      obamacare fixes this

    1. Rising medical costs are the result of advances in medical technology that end up benefiting Americans and the rest of the world. It would not be wise to drastically change the private health care system to a single-payer, government-managed program with the hope of reducing these costs. Instead, Americans should be open to reforms to the system proposed by both parties as valuable ways to save money on the best health care possible.
    2. The specific proposals favored by Obama include helping small businesses afford health care coverage, requiring insurance companies to cover preexisting conditions, and providing a public health insurance option for those who are not covered by private insurance.
    3. Millions of Americans are forced to pay for their own health insurance because they are unemployed, self-employed, or employed by small businesses that can't afford to participate in health insurance programs.
    4. Such problems are just a few of the drawbacks of a government-managed health care system. Consumer-driven care, or the ability to choose health care providers and procedures that meet individual needs, is crucial to a successful program.
    5. Health Care America documents the pitfalls of the Canadian healthcare system. On average, Canadians wait nearly eighteen weeks to receive treatment by a specialist after the initial referral, more than eight weeks for magnetic resonance imaging (MRI), four weeks for computed tomography (CT) scans or ultrasounds, and four or more months for surgeries that are considered unessential, such as hip replacements. Procedures that are standard in the United States, including bypass surgery and transplants, are provided only after patients deal with numerous agencies and fill out copious amounts of paperwork. Sometimes the approval arrives too late.
    6. determined that 89 percent of Americans are satisfied with their health insurance coverage, and of these, over half are very or extremely satisfied. For the majority of Americans, a transformation to a government-managed health care system would be disastrous.

      2005

    7. US citizens to choose the physicians and treatment plans that meet individual needs rather than a generic government-funded program.

      how does obamacare allow "individuality" in healthcare plans

    1. “If you’re a victim of domestic violence,” Harris said, “you can be denied access to health care because being a victim of domestic violence is considered a pre-existing condition.

      what?!

    2. Women gained more comprehensive services for reproductive health care. This included well-woman visits, mammograms, contraceptive coverage, breast cancer tests for women at high risk, prenatal services and breastfeeding support.
    3. he expanded the social contract for the first time in several decades,

      definition: "The theory of an implicit social contract holds that by remaining in the territory controlled by some society, which usually has a government, people give consent to join that society and be governed by its government, if any. This consent is what gives legitimacy to such a government."

    1. projected federal spending on health care has been slashed by $200 billion in 2020, thanks largely to slower health care cost growth. That means lower deficits, more room for investment in education, roads, bridges, or lower taxes.

      contrary to popular belief

    2. For example, 50,000 fewer people died as a result of preventable errors and infections in hospitals from 2010 to 2013. And Medicare is creating “star ratings” for health plans and many types of health care providers – improving performance and information for patients.
    1. Obamacare is clearly not perfect, but it opens the door for regular folks like us to obtain an affordable comprehensive health insurance plan comparable to those offered to most government and corporate employees, regardless of preexisting conditions or advancing age.
    2. but simply because one of us got sick, and we don't happen to have a corporate or government job that provides comprehensive group health insurance coverage, we stand a good chance of losing everything.
    3. The fine-print exclusions in our medical policy include doctor's visits, prescriptions, and lab work, which, according to my insurance company, also excludes diagnostic tests critical to my wife's medical care, such as monthly tests to track special blood proteins that are myeloma markers, CT scans, X-rays, MRIs, and PET scans.

      chronic illnesses

    4. The unfortunate thing about high-deductible policies like ours is that since you almost never spend enough money on medical expenses to meet the deductible, you have no idea whether or not your insurance coverage is adequate until someone gets seriously sick or severely injured. Once that occurs, you now have a "preexisting" medical condition that makes it nearly impossible to upgrade your health insurance plan, or switch insurance carriers.
    5. o we don't stand a chance of switching insurance carriers or upgrading our policy, until that day if and when Obamacare [referring to the Patient Protection and Affordable Care Act] becomes a reality. For us, and many thousands of others in similar situations, Obamacare will make the difference between never-ending financial struggles, or having an affordable yet comprehensive health insurance policy along with the prospect for a decent life without fear of bill collectors and bankruptcy.

      pre-existing conditions

    1. • 62 percent say the amount they pay for medical care will increase. • 47 percent think they’ll be worse off when it becomes law. • 70 percent believe the federal budget deficit will go up — contrary to repeated claims from Democrats. • 56 percent view Obamacare as creating too much government involvement in health care.
    1. The ACA requires all plans to offer some coverage for mental health and substance abuse care, rehabilitative care such as physical therapy, as well as preventive and pediatric services, including pediatric vision and oral health care.[7]
    2. The ACA has significantly lowered these costs.[1] Almost 83%, or 10.5 million of the 12.7 million people insured through the ACA Marketplace received the law's premium subsidies from November 2015 to February 2016.[2]
    1. States that expanded Medicaid under the ACA experienced a larger increase in coverage of the chronically ill, the investigators found. On average, Medicaid-expansion states increased coverage by 5.6 percentage points, from 82.8% with insurance before the ACA to 88.5% after the law went into effect. But even states that didn't expand Medicaid experienced an increase, rising 4.2 percentage points from 77.0% before to 81.2% after the ACA was enacted.

      increase in coverage

    1. Health care reform works and has already benefited millions of seniors, women, children, and young adults. If at two years the Affordable Care Act is already helping millions of Americans access quality, affordable health care, we have a lot more to look forward to.
    2. Additionally, the Affordable Care Act prohibits insurance companies from spending more than 20 percent of premium dollars on nonmedical expenses such as administrative costs and marketing. If insurers violate the 80/20 standard—also called the Medical Loss Ratio—they must return the money to patients through rebate checks.
    3. For instance, it already eliminated lifetime coverage limits for 105 million Americans, ensuring those who need coverage the most cannot max out their health insurance.

      chronic diseases

    4. The fund, designed to help create the necessary infrastructure to prevent and detect disease and manage chronic conditions, creates additional primary care residency slots and increases the number of nurse practitioners trained, among other things.
    5. departments’ joint efforts halted $4.1 billion in fraudulent claims, which is the largest sum ever recovered in a single year from individuals and companies attempting to defraud seniors and taxpayers.
    6. The payment models the participating organizations are piloting will allow providers to move away from a volume-based, fee-for-service payment system to one based on the quality of care provided.

      good

    7. seniors saved an average of $837 a year—and will save even more in the years ahead. The average Medicare patient will save $4,200 from 2011 to 2021 while those with higher prescription drug costs will save as much as $16,000 over the same period. Since 2010, more than 5 million seniors have saved $3.2 billion.
    8. Health care reform requires insurance plans to cover important preventive services, including critical immunizations, numerous health screenings, and counseling services, with no cost-sharing by women.
    9. Meanwhile, many Americans with a pre-existing medical condition—including asthma, heart disease, previous injuries, and cancer—would not have access to necessary, affordable care without health reform.

      !!!!!!!!1

    10. 6.6 million additional young adults, including more than 1.3 million minorities—many of them new college graduates—had access to coverage even if they were unable to find a job right away.