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ObamaCare: What does it mean?
Jan 29, 2013 | 3967 views | 13 13 comments | 8 8 recommendations | email to a friend | print

This is the first of a series that will appear each Wednesday — editor.

The goal of this ongoing series is to take the myth out of the upcoming federal health care law that will go into effect on Jan. 1, 2014. The new law is more than 900 pages long and even the most educated people are still having trouble understanding what the new plan actual does or doesn’t do. This series will give people the facts so they can make educated decisions. In the next few weeks, we will look at terms like state insurance exchanges, Medicaid expansion, essential health benefits and levels of coverage, federal poverty level and government assistance as well as penalty taxes. We will put it all into a language that every person can understand. This week we will discuss the background of the new health care law and how will it applies to our readers.

The Patient Protection & Affordable Care Act is the official name of the new health care law. The media and a number of people in Congress had been using the name Obamacare or the ACA during the election. In this series, I will use ACA to discuss the program since the media and the federal government will start using these three letters to talk about national health care moving forward. The ACA was created to address the number of Americans within the United States who are uninsured. When the ACA was approved, its goal was to cover some 30 million Americans without insurance and provide them with a basic set of health benefits they are not getting now, such as maternity and preventive care. Also, another welcomed addition, the ACA will stop the practice of increasing rates for people with “pre-existing conditions.” While these are just a few benefits of the ACA, they do afect the greatest number of people. The question of how the government plans to pay for this coverage will be addressed since there are a number of factors on how it will happen. We will cover those issues later in the series.

Currently, many of the people who are counted in the 30 million fall into two main groups — unemployed and uninsurable. According to the Division of Employment Security of NC, if you are unemployed and made over $802.81 a week, you are collecting the state maximum of $535 a week. The problem, for a family of four who need health coverage, it can range from $375 to $1,400 a month. That can be one week of pay or almost three weeks depending on the health plan you need. There is not much room for car payments, food or paying the mortgage or rent. Since people need a roof over their heads, a car to get to work and food for their family, the need for health insurance is low on the list.

The other group is the uninsurable or high risk. Do you have a medical condition like high blood pressure, diabetes, cancer, or heart problems? If you do, either the insurance companies won’t take you or the rates are so high, you can’t afford it. Some rates can be as high as $2,000 a month. Under the ACA, there will be no penalizing people who have medical problems. Everyone will be treated the same. So two people who are 35 years of age and one is in good health and the other has medical problems, they will pay the same rate.

The problem is the government hasn’t given exact numbers on what the plans will cost. It has been a moving target for a while as the states work with the federal government and the insurance companies to create these new programs. Hopefully by the end of this series, North Carolina will have a working model which we can look at.

Next article, we will look at the cost of some of these plans that North Carolina is creating and how people may now qualify for Medicaid under the new rules.

Darek Hunt, a Lumberton resident, has his master’s degree in Public Policy and Administration and is a doctoral student in Health Sciences. He specializes in health care administration and health policy.



Comments
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thepubliccitizen@gmail.com
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February 05, 2013
Rossisright,

I am not a supporter of Obamacare, but I am a fan of correct information. You must be using a different search engine than everyone else in the world. The World Health Organization as well as every other research database uses infant mortality rates as part of any ranking. The US is near the bottom with Mexico and Turkey. Most other countries including, Canada, Japan, France and Germany all have better health systems and lower rates of death among infants
ROSSisRIGHT
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February 05, 2013
My expertise is Medicine. We have the best medical in the world, period. You can site any government stats you want, but hands down we rank the highest. Why do you think people from Canada, France, Mexico etc.. all come here if they can afford the trip and their life is threatened by some sickness. Of course a lot of websites and studies from other countries and our own may say others are better, they hate us and so do democrats who have destroyed our system. W.H.O. despises America. America is the country that has invented just about every life saving drug and equipment there is in the world. We have the best doctors in the world, and the best, cleanest(except V.A. government ran) hospitals in the world. Come on, surley you don't actually believe we rank near Mexico and Turkey do you? Third world countries? America is the best at just about anything there is in the world. Don't doubt me on this. Please stop getting your distrust for America from the news media, they hate America and what it stands for too.

My friend BBBD can give you more info on this, hang tight for a few...
thepubliccitizen@gmail.com
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February 02, 2013
Rossisright,

Get your facts straight..Several notable organizations such as the World Health Organization have rated Health Systems around the world for years and the US Health system is far from first..Try 37th..
ROSSisRIGHT
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February 03, 2013
You are wrong. America counts childbirth deaths, others don't. Just to name one. When all medical is counted and graded the exact same way, America is the best in the world. For now that is, it will soon get worse, you'll see.

About the only thing we have to wait on now are transplants(heart,lungs,etc). Other countries have waiting lists for years on something as simple as knee replacements and hip replacements. 30 day wait to see a doctor for a severe cold.

America leads in first place in every catagory than all other countries except education...
BBBD
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February 03, 2013
That's why people rush to Cuba anytime they have a life-threatening illness, right? The ratings provided by the WHO are worth about as much as the paper they are printed on.
backatyaDD
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February 01, 2013
1944...you just have to look right by Rossisanidiots comments. He's angry with the world because he lives in mobile home off hwy 41 in little mexico(snake rd) prolly has a court date for a DWI and obviously his teenage son is the only one working bagging groceries to support the family!! Soo he's just pissed with the world!! Just pay him no attention!!!
ROSSisRIGHT
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February 02, 2013
You left out my wife is a doctor, my son's in the Navy and I'm a successful small business owner...

Ps. And I dropped out of high school.

And you?...
1944
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January 31, 2013
@ ROSSisRIGHT, I am so tired of your negative comments about everything, and I have to say that I am not the only one. You seem to have a negative opinion on anything that is printed. I have always been told, if you can't say anything positive, please keep your mouth closed. Oh, and one more thing, just who are these low-lifes that you are talking about? Are you saying that just because someone does not have health insurance they are a low-life??? I beg to differ. I know plenty who do have have health insurance for several reasons, not all of them their own. So, could you please watch your name calling!!!
ROSSisRIGHT
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January 31, 2013
If you don't have insurance and you leave a bill for some 16 year old kid who bags groceries part-time to pay with the taxes that are taken by force out of his check, YOU ARE A LOW-LIFE.

Also I don't make negative comments, I tell the truth and let the chips fall where they may...

You have no right to expect someone in the med field to provide free care for you. If you don't have the money to get sick, take better care of yourself, or save up money for when you do get sick instead of blowing it on cigarettes and lottery tickets.

ps. If you get sick ask God to heal you, or pay the doctor.... If God wont heal you why would you expect a doctor to do it for free?
backatyaDD
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February 01, 2013
1944...you just have to look right by Rossisanidiots comments. He's angry with the world because he lives in mobile home off hwy 41 in little mexico(snake rd) prolly has a court date for a DWI and obviously his teenage son is the only one working bagging groceries to support the family!! Soo he's just pissed with the world!! Just pay him no attention!!!
ROSSisRIGHT
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February 01, 2013
BackatyaDD, You left out I'm married to a doctor... My son's in the Navy, and I'm a succesful business owner...
ROSSisRIGHT
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January 30, 2013
What does Obama care mean? It means you no longer live in a free society where you have choices. Obama wants to destroy the best healthcare system in the world. There is nobody in America who doesn't have access to medical services... But when this stupid plan is fully engaged, some will be turned away or given a pill and told to go home and die. It's cheaper that way. You'll see, I have first hand knowlege to this and it ain't gonna be pretty.

And again, it'll affect the low-lifes more than it will us. We go to our doctor instead of sitting around til the last minute and then clogging up the emergency room. As a matter of fact, I've only been to the emergency room twice in my whole adult life, that ought to tell you something....

ps. And my favorite thing about this is there will be shotages on medicines...sooo when you're up there with some made up pain, guess what? NO SOUP FOR YOU! (or pain pills)

BBBD
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January 29, 2013
I like the idea of the government telling private businesses how much they can charge. It's nothing at all like fascism.
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