"This is probably one of the longest emails I’ve ever sent, but it could be the most important.
Across the country we are seeing vigorous debate about health insurance reform. Unfortunately, some of the old tactics we know so well are back — even the viral emails that fly unchecked and under the radar, spreading all sorts of lies and distortions.
As President Obama said at the town hall in New Hampshire, “where we do disagree, let’s disagree over things that are real, not these wild misrepresentations that bear no resemblance to anything that’s actually been proposed.”
So let’s start a chain email of our own. At the end of my email, you’ll find a lot of information about health insurance reform, distilled into 8 ways reform provides security and stability to those with or without coverage, 8 common myths about reform and 8 reasons we need health insurance reform now.
Right now, someone you know probably has a question about reform that could be answered by what’s below. So what are you waiting for? Forward this email.
Thanks,
David
David Axelrod
Senior Adviser to the President "
P.S. We launched www.WhiteHouse.gov/realitycheck this week to knock down the rumors and lies that are floating around the internet. You can find the information below, and much more, there. For example, we’ve just added a video of Nancy-Ann DeParle from our Health Reform Office tackling a viral email head on. Check it out:
8 ways reform provides security and stability to those with or without coverage
1. Ends Discrimination for Pre-Existing Conditions: Insurance companies will be prohibited from refusing you coverage because of your medical history.
2. Ends Exorbitant Out-of-Pocket Expenses, Deductibles or Co-Pays: Insurance companies will have to abide by yearly caps on how much they can charge for out-of-pocket expenses.
3. Ends Cost-Sharing for Preventive Care: Insurance companies must fully cover, without charge, regular checkups and tests that help you prevent illness, such as mammograms or eye and foot exams for diabetics.
4. Ends Dropping of Coverage for Seriously Ill: Insurance companies will be prohibited from dropping or watering down insurance coverage for those who become seriously ill.
5. Ends Gender Discrimination: Insurance companies will be prohibited from charging you more because of your gender.
6. Ends Annual or Lifetime Caps on Coverage: Insurance companies will be prevented from placing annual or lifetime caps on the coverage you receive.
7. Extends Coverage for Young Adults: Children would continue to be eligible for family coverage through the age of 26.
8. Guarantees Insurance Renewal: Insurance companies will be required to renew any policy as long as the policyholder pays their premium in full. Insurance companies won’t be allowed to refuse renewal because someone became sick.
Learn more and get details: http://www.WhiteHouse.gov/health-insurance-consumer-protections/
8 common myths about health insurance reform
1. Reform will stop "rationing" – not increase it: It’s a myth that reform will mean a "government takeover" of health care or lead to "rationing." To the contrary, reform will forbid many forms of rationing that are currently being used by insurance companies.
2. We can’t afford reform: It’s the status quo we can’t afford. It’s a myth that reform will bust the budget. To the contrary, the President has identified ways to pay for the vast majority of the up-front costs by cutting waste, fraud, and abuse within existing government health programs; ending big subsidies to insurance companies; and increasing efficiency with such steps as coordinating care and streamlining paperwork. In the long term, reform can help bring down costs that will otherwise lead to a fiscal crisis.
3. Reform would encourage "euthanasia": It does not. It’s a malicious myth that reform would encourage or even require euthanasia for seniors. For seniors who want to consult with their family and physicians about end-of life decisions, reform will help to cover these voluntary, private consultations for those who want help with these personal and difficult family decisions.
4. Vets’ health care is safe and sound: It’s a myth that health insurance reform will affect veterans’ access to the care they get now. To the contrary, the President’s budget significantly expands coverage under the VA, extending care to 500,000 more veterans who were previously excluded. The VA Healthcare system will continue to be available for all eligible veterans.
5. Reform will benefit small business – not burden it: It’s a myth that health insurance reform will hurt small businesses. To the contrary, reform will ease the burdens on small businesses, provide tax credits to help them pay for employee coverage and help level the playing field with big firms who pay much less to cover their employees on average.
6. Your Medicare is safe, and stronger with reform: It’s myth that Health Insurance Reform would be financed by cutting Medicare benefits. To the contrary, reform will improve the long-term financial health of Medicare, ensure better coordination, eliminate waste and unnecessary subsidies to insurance companies, and help to close the Medicare "doughnut" hole to make prescription drugs more affordable for seniors.
7. You can keep your own insurance: It’s myth that reform will force you out of your current insurance plan or force you to change doctors. To the contrary, reform will expand your choices, not eliminate them.
8. No, government will not do anything with your bank account: It is an absurd myth that government will be in charge of your bank accounts. Health insurance reform will simplify administration, making it easier and more convenient for you to pay bills in a method that you choose. Just like paying a phone bill or a utility bill, you can pay by traditional check, or by a direct electronic payment. And forms will be standardized so they will be easier to understand. The choice is up to you – and the same rules of privacy will apply as they do for all other electronic payments that people make.
Learn more and get details:
http://www.WhiteHouse.gov/realitycheck
http://www.WhiteHouse.gov/realitycheck/faq
8 Reasons We Need Health Insurance Reform Now
1. Coverage Denied to Millions: A recent national survey estimated that 12.6 million non-elderly adults – 36 percent of those who tried to purchase health insurance directly from an insurance company in the individual insurance market – were in fact discriminated against because of a pre-existing condition in the previous three years or dropped from coverage when they became seriously ill. Learn more: http://www.healthreform.gov/reports/denied_coverage/index.html
2. Less Care for More Costs: With each passing year, Americans are paying more for health care coverage. Employer-sponsored health insurance premiums have nearly doubled since 2000, a rate three times faster than wages. In 2008, the average premium for a family plan purchased through an employer was $12,680, nearly the annual earnings of a full-time minimum wage job. Americans pay more than ever for health insurance, but get less coverage. Learn more: http://www.healthreform.gov/reports/hiddencosts/index.html
3. Roadblocks to Care for Women: Women’s reproductive health requires more regular contact with health care providers, including yearly pap smears, mammograms, and obstetric care. Women are also more likely to report fair or poor health than men (9.5% versus 9.0%). While rates of chronic conditions such as diabetes and high blood pressure are similar to men, women are twice as likely to suffer from headaches and are more likely to experience joint, back or neck pain. These chronic conditions often require regular and frequent treatment and follow-up care. Learn more: http://www.healthreform.gov/reports/women/index.html
4. Hard Times in the Heartland: Throughout rural America, there are nearly 50 million people who face challenges in accessing health care. The past several decades have consistently shown higher rates of poverty, mortality, uninsurance, and limited access to a primary health care provider in rural areas. With the recent economic downturn, there is potential for an increase in many of the health disparities and access concerns that are already elevated in rural communities. Learn more: http://www.healthreform.gov/reports/hardtimes
5. Small Businesses Struggle to Provide Health Coverage: Nearly one-third of the uninsured – 13 million people – are employees of firms with less than 100 workers. From 2000 to 2007, the proportion of non-elderly Americans covered by employer-based health insurance fell from 66% to 61%. Much of this decline stems from small business. The percentage of small businesses offering coverage dropped from 68% to 59%, while large firms held stable at 99%. About a third of such workers in firms with fewer than 50 employees obtain insurance through a spouse. Learn more: http://www.healthreform.gov/reports/helpbottomline
6. The Tragedies are Personal: Half of all personal bankruptcies are at least partly the result of medical expenses. The typical elderly couple may have to save nearly $300,000 to pay for health costs not covered by Medicare alone. Learn more: http://www.healthreform.gov/reports/inaction
7. Diminishing Access to Care: From 2000 to 2007, the proportion of non-elderly Americans covered by employer-based health insurance fell from 66% to 61%. An estimated 87 million people – one in every three Americans under the age of 65 – were uninsured at some point in 2007 and 2008. More than 80% of the uninsured are in working families. Learn more: http://www.healthreform.gov/reports/inaction/diminishing/index.html
8. The Trends are Troubling: Without reform, health care costs will continue to skyrocket unabated, putting unbearable strain on families, businesses, and state and federal government budgets. Perhaps the most visible sign of the need for health care reform is the 46 million Americans currently without health insurance – projections suggest that this number will rise to about 72 million in 2040 in the absence of reform. Learn more: http://www.WhiteHouse.gov/assets/documents/CEA_Health_Care_Report.pdf



15 Comments




This is clearly a fight for the status quo ante fraught with misdirection and free of real, viable, less expensive alternatives.
Wow, 24 bullet points. This strikes me as another sign that the WH political operation doesn’t really understand the American people’s need for simple answers, simple explained.
That too! First they need a simple reform package, hopefully, less than a 1000+ double-spaced pages.
Thanks Nahant,
Post Your Own HC Reform slogan here! I referenced this post as the starting point.
There are many bullets but at least they are telling the truth unlike the opposition. You don’t have to use all of them but still it does help educate you with as much truth as you can.
Thanks dosido… will have to scratch my brain and come up with some cutzie!
Also, exactly what bill do these bullet points refer to? I wasn’t aware that the White House had endorsed anything yet except, of course, the view that HR 676 is off the table.
There is much false information going around on health care reform (first, how can it be reform with no reform of junk lawsuits that force doctors to order extra tests and procedures to cover their rear in case of suit? Running up costs steeply)
But, here is some solid truth.
You think wait times for surgery are a myth? The problem actually is widespread. A few years back the Canadian government even passed a law establishing the Wait Time Reduction Fund. A public health care supporting group called The Organization for Economic Cooperation and Development (slogan: “For a Stronger, cleaner and fairer economy”) did a study used by the Canadian government regarding the problem. This study covers the wait times for about 8 or 9 other public health countries. Here is the link to it
http://www.oecd.org/dataoecd/24/32/5162353.pdf
The study showed that the percentage of people waiting more than 4 months for elective surgery (meaning necessary but not urgent–hip replacement, knee replacement, hysterectomy, etc.) was nearly 30% in Canada, nearly 40% in the UK BUT ONLY 5% IN THE US. Portugal was highest at nearly 60%. The study then calculated what might be the optimum wait time taking into account the costs, etc. They came up with 3 months as the ideal. In other words, they calculated it like a company might calculate what is the optimum wait time on the phone for customer service (at what point does the customer become angry to a degree that the cost to keep from going longer is justified?). What a great way to run a health care system!
Beside that, if you take the real number of uninsured, sans illegals, etc, you have only about 8% of the US population that is uninsured. That is similar to the unemployment rate. Like the unemployment rate, part of that percentage is likely to be transitional people–for example, those out of job now, but going to be in a job within a few months. So, we are considering changing an entire system to solve a problem only effecting 8% of the population? Get the lawyers out of health care and the rest of us could likely have an easier time too.
7. Extends Coverage for Young Adults: Children would continue to be eligible for family coverage through the age of 26.
This point jumped up and slapped us in the face this year. We have an 18 year old who had to get REQUIRED vaccinations for college. BC dropped her like a hot potato because she turned 18. Period. She doesn’t have a job with benefits! Bang. $600 just like that.
In California there is an existing tort law which caps damages paid by doctors for pain and suffering. I believe it’s $250,000. I don’t know about other states.
You are only looking at 8% of the problem. very narrow. Most people are underinsured, or even WITH INSURANCE, do not receive coverage and are DENIED coverage THEY PAY FOR.
And if this is such a small problem, why are health INSURANCE companies spending so much money trying to stop any legislation. Why do many republicans agree that there is a problem, yet do nothing???
Stop begging the question of is the system broken.
$250K is the correct amount dosido.I know I checked with what I have been through!
Healthcare is already rationed to those who can pay. Healthcare is denied or payment is delayed even if you have a plan my eye doctor sent me bills for months for new glasses before the UPS insurance I had at the time paid them that was not fair to my eye Doctor.
Drug companies ration care by charging Americans more for drugs than they do anyone else in the world.
Americans should pay what everyone else pays.
America first people like the Tea Baggers, Glen Beck and Lou Dobbs never get angry over that!
Oh no. sounds like there’s a story there I am unaware of. I’m sorry to learn that you are so intimately aware of this point nahant. hope everything is resolved now?
Dosido, since the 8 other countries in the OECD study had waiting times from 4 to 12 times more than the US, I’d say the system isn’t too broken and less so than in other countries using the system you propose.
Yes, it ought to be reformed and here is my reform.
1. stop the junk malpractise suits. Give the entire award won to the victem; not the lawyer. Award the victorious lawyer a rate similar to a doctor’s rate and regulated by the same board that will regulate doctor’s fees.
2. Give losing lawyers $20 an hour.
3. Allow all 1300 insurance companies who provide health care insurance the right to compete and offer insurance in all states–now it is state by state so competition is limited.
4. Provide a subsidy to low income people to buy health insurance if they don’t get it through a job–but not free. Some meaningful percentage of income.
5. Set up a government fund for those with proof of being turned down by three insurance companies (due to pre-existing conditions). The rate will be same as what they would have paid had they been accepted. No free ride, but at least they get covered.
The first few items will lower the costs for everyone without disrupting the entire system of care. Eliminate all the cover your rear tests, machines and procedures; make medicine simple again.
The second will cover the small percentage who have difficulty affording even the lower cost care.
By the way, I have some friends in the UK who tell me that most people there get supplimental private insurance because the normal system doesn’t cover all they need. Canadian citizens had to sue for this right.
Of course, the problem with this reform is that it doesn’t hand out free care.