7 Ways Health Reform Is Going to Affect You

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I have always been for socialized healthcare until I've read this. I think my views have changed and I spent several months in pain unable to get treatment because I didn't have health insurance that would cover my back because it was a pre-existing condition and then doctors that would refuse to treat the pain because I didn't have insurance. I do think everyone should be able to get help I don't think it's right for the government to choose whats best for you. I do like the idea of a healthcare system that embraces more holistic approaches to help with pain but not be the only solution. I am young and very afraid of what my situation will be years down the road if they can already deny me healthcare coverage because of being born with scoliosis and I have chronic pain.

Lisa F of WI 9:39AM June 11, 2009

I'm afraid that you're listening to the right wing talking points which are entirely baseless. You're exhibiting a fear-based mentality which has merely oppressed your ability to exercise objectivity.

I have indeed experienced the healthcare systems of Canada and Mexico. As a matter of fact Mexico was a wonderful surprise.

And I didn't have insurance.

You may wish to reexamine the Cuban health care system Cristina. I'm afraid once again that you've been lead astray because you wish to hear what you wish to hear, rather than research.

Scroll down Cristina. I describe my personal issues with healthcare. I know that you may wish to deny them, but they're my experiences and hardly unique.

The insurance companies are in this racket for profit.

The current healthcare system in the United States is a fine example of the Republican/Corporate Combine.

I hope that you'll take some time to perform your own research of the facts. Barring that, I'd love to see your idea of a solution to our calamitous system. It should:

•Reduce costs — Rising health care costs are crushing the budgets of governments, businesses, individuals, and families, and they must be brought under control.

•Guarantee choice — Every American must have the freedom to choose their plan and doctor – including the choice of a public insurance option.

•Ensure quality care for all — All Americans must have quality and affordable health care.

David Smith of WA 2:21AM June 11, 2009

Joanne. You are complaining about insurance companies making decisions for you but then you want the government to do those decisions for you. What is the difference for you? Do you think they know better than you?

Cristina Shepard of VA 1:50AM June 11, 2009

Cuba's healthcare system might be free, but it is a nightmare. There are information and photos about the horrendous conditions of hospitals where the Cubans - not the tourists - have to go, where there is NOTHING. And by nothing I mean NOTHING. Everything - even medication, sheets, blankets, pillows, and food - has to be provided by the family. And if you don't have a family, nobody will care for you.

Do you think that this is a "humane" healtchcare system? Please!. Let's try no to be hypocritical here. This is a serious matter.

Cristina Shepard of VA 1:45AM June 11, 2009

Most Latin American countries have ugly universal healthcare systems. Would like to wait a year to get an ear surgery, David? That is what you have to wait in Buenos Aires to get a "sofisticated" year operation. In the meantime, you still have the problem and you are still losing your hearing.

In Italy, a woman has to wait 70 DAYS to get a mammogram done. I get an appointment in 3 days with my CIGNA PPO.

Do you think you are going to have a much better quality, advanced, and cheap service than the one we have now? Keep dreaming.

If you have a heart attack and you are over 50 under Universal healthcare, Good luck in getting treatment.

Cristina Shepard of VA 1:35AM June 11, 2009

Which country, D Carpenter?

Just right wing blather. Show me ONE country which has a "failed" national health plan. Just one. Define "failed".

Is the US health care system "failed"?

David of WA 12:32AM June 11, 2009

Look around at other countries and see their failed National Health Plans, not enough care when you need it and no other choice around. We all know that the rich will get what they need because they can afford it, the poor will get what they need because we will pay for it, and the middle class will struggle, as usual, because the blue collar worker always pays the bill, and is forgotten. This is a disaster in the making, socialized medicine is not the answer, but no one is listening.

D. Carpenter of MN 12:19AM June 11, 2009

Electronic records are a great idea. However what good are they if people aren't able to access care due to mainly costs? People can't afford to see a health care provider, they can't afford medications, operations, and hospital care. We need a health care system that provides ongoing assessments based on encouraging wellness and healthy life styles. We need early assessments and interventions of illness. It is criminal that our country with all of our resources doesn't provide health care to all of our citizens. Our present "insurance" system is dictated by insurance companies whose purpose is to make money for the company. These insurance companies tell consumers who they may see (ie. which provider the company will pay for), what medications to take(ie which drugs are "in formulary") and which treatments they may be reimbursed for. By the time deductibles, co-pays, and out of network expenses the poor "insured" gets the bill and the premium and still has to pay for the care. We need the government to help us. Please

Joanne Neihardt MSN,RN Ret. of MI 9:12PM June 10, 2009

According to researchers at Harvard Law School, Harvard Medical School and Ohio University, in 2007, medical problems and expenses contributed to nearly two-thirds of all bankruptcies in the United States, a jump of nearly 50 percent from 2001, new research has found. Since the data used in the study were collected prior to the current economic downturn, it's likely that the current rate of medical-related bankruptcies is even higher. They randomly surveyed 2,314 bankruptcy filers in early 2007 and found that 77.9 percent of those bankrupted by medical problems had health insurance at the start of the bankrupting illness, including 60 percent who had private coverage.

Most of those bankrupted by medical problems were "solidly middle class" before they suffered financial disaster -- two-thirds were homeowners and three-fifths had gone to college. In many cases, these people were hit at the same time by high medical bills and loss of income as illness forced breadwinners to take time off work. It was common for illness to lead to job loss and the disappearance of work-based health insurance.

The study also found that well-insured families often had to cope with high out-of-pocket medical costs for co-payments, deductibles and uncovered services. Medical bills for medically bankrupt families with private insurance averaged $17,749, compared to $26,971 for the uninsured and $22,568 for those who initially had private coverage but lost it during their illness.

The highest average costs were incurred by people with diabetes ($26,971) and neurological disorders ($34,167), the researchers found.

And according to the study in the August issue of the American Journal of Medicine, which was published online June 4, hospital bills were the largest single expense for about half of all medically bankrupt families, while prescription drugs were the largest expense for 18.6 percent. Unless you are super rich, your family is just one serious illness away from bankruptcy. For middle-class Americans, health insurance offers little protection. Most of us have policies with so many loopholes, co-payments and deductibles that illness can put you in the poorhouse. And even the best job-based health insurance often vanishes when a prolonged illness causes job loss -- precisely when families need it most. Private health insurance is a defective product, akin to an umbrella that melts in the rain,” We need to rethink health reform. Covering the uninsured isn't enough. Reform also needs to help families who already have insurance by upgrading their coverage and assuring that they never lose it. Only single-payer national health insurance can make universal, comprehensive coverage affordable by saving the hundreds of billions we now waste on insurance overhead and bureaucracy.

Unfortunately, Washington politicians seem ready to cave in to greedy insurance firms and keep them and their counterfeit coverage at the core of our system. Reforms that expand phony insurance -- stripped-down plans riddled with co-payments, deductibles and exclusions -- won't stem the rising tide of medical bankruptcy.

SR of NJ 8:18PM June 10, 2009

As a small bone surgeon I can guarantee that access to specialists such as myself will be severely restricted, and wait times incredibly long. Non-emergent cases will take a back seat and it may be months, if not longer to schedule an elective surgery.

With the proposed cuts (to surgeons) I see the likely scenario that older surgeons will opt to retire rather than deal with the red tape and headaches of the new system. I for one will limit my practice and certainly pare certain plans that do not reimburse me a reasonable fee.

It take on average 12-14 years to train a small bone, or orthopedic surgeon. The system cannot easily replace those that retire early, especially as retiring baby boomers are set to hit the system.

There's no easy answer but I can tell you from my perspective it would be easier to find a solution to insure the 50 million who are without health insurance, and leave those of us who are pleased with our insurance alone.

Obama's plan is a recipe for disaster that will take years (if ever) to correct.

rob of TX 7:06PM June 10, 2009

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Heart to Heart

Bernadine Healy, M.D., U.S.News & World Report's health editor and author of the magazine's On Health column, is the former head of the National Institutes of Health, the American Red Cross, and the College of Medicine and Public Health at Ohio State University. A cardiologist and author of two books, she spent more than 25 years practicing medicine. In this blog, she covers matters close to her heart, including cardiovascular disease and other important aspects of personal health and health policy.

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