Some years ago, driving through an end of town where pawn shops and boarded up homes are common, I saw a small placard sign nailed on a telephone pole. “Buy Health Insurance,” it touted with premiums as low as $25 a month. I was tempted. 2013-11-16-images1.jpegHealth insurance, for me and for most Americans, is a necessary part of life, similar to home rent or mortgage, grocery bills and gasoline. Insurance is essential because a hospitalization for a few days costs $10,000 and medical bills for a major illness can lead to hundreds of thousands of dollars in payments. So it is no wonder that the Affordable Care Act, aka Obamacare,alligator shear has created anxiety among many Americans.And, without doubt, the ACA has caused the health insurance market to go into upheaval, with a nonfunctional healthcare.gov website, with unexpected insurance cancellation notices, and now with a proposed “fix” by President Obama.
So let me try to put things in perspective.The ACA is really a “Health Insurance Reform Act” — its greatest impact is to increase the number of insured individuals, to guarantee essential benefits, and to regulate health insurance companies. Perhaps most importantly, it promises health insurance no matter what your preexisting conditions are.Today, 49 percent of Americans get their insurance from their employer and 28 percent are on government insurance such as Medicare or Medicaid. Combined,alligator shear this represents nearly 80 percent of the population and they are largely unaffected directly by ACA. Another 15 percent are uninsured and they are being required to buy insurance; many of them will be helped with subsidies.
Then there are 5 percent of Americans who have individual plans, and half of them are receiving letters from their insurance companies cancelling their policies.These individual health plans vary. Some are Cadillac plans and they likely are not being cancelled because they meet the new benefits requirements. But many are “junk” or skin analyzer substandard health insurance, and they are being axed. Often, you only realize you have a substandard plan when you get ill.I have patients who stop coming to the clinic after the few initial visits and then become so ill they have to be admitted to the hospital. When I ask them why they stopped taking their lifesaving medicine and making clinic visits, their response is simple: “My insurance ran out.”
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