
It was rock music instead of trumpets, as Nancy Pelosi and fellow Democrats are used in the house every Thursday to thrive under the new U.S. $ 894 billion of
health care as the landmark legislation on equal footing with the founding in 1935 by the Social Security and Medicare in 1965.
The bill nearly 2000 pages would turn the landscape
health. Many of its effects remain unclear for the coming years. There are serious concerns about its impact on the budget deficit, despite assertions to the contrary, and does not provide the most effective solution for the management of a government insurance that would Pelosi and the liberals.
But at least the 10-year plan to significantly expand coverage to approximately 36 million Americans - up 96 percent of all citizens - and an immediate ban on insurance companies cancel policies when people are sick and cap benefits for life.
Bill 2013 has also access to insurance coverage for those who have refused to pre-existing conditions; a term that was always includes all diagnosed with any type of illness.
The coverage expansion would primarily through a surcharge of 5.4 percent on incomes exceeding $ 500,000 per year and families deserve to be funded more than $ 1 million, and parts of the administration policy in a private insurance known as a disease Medicare Advantage.
To pay wages and company payrolls over $ 250,000 fines if they do not offer coverage. Most people would be forced to buy insurance, but the young may remain in their parents' plans until the age of 27.
When a provocative Pelosi said that "will burn in hell", he replied: "Thank you, insurance companies in America." Among the many provisions, the laws will strip their insurance antitrust exemption.
"There are still some unanswered questions, but ... we have the consensus needed to get over 218 votes for approval in the House reached said Rep. George Miller, D-Martinez, an important architect." I am confident that this law will pass. "
Important changes The legislation is the result of months of tough negotiations. Some major changes have been rolled into the first bills in August, including a booming insurance business, by the people who are uninsured or work for small businesses to buy regulated private plans or select "could be made public" a management plan for the government.
The expansion will gradually increase the number of employers who allow their employees access to trade, small businesses up to 25 employees in 2013 and three years later, allowing the opening exchanges at employees of large companies,
Health and Social Services, Mr . . . .
Many economists believe that trade if it is large enough to strong competitive forces in
health care, providing individual consumers control over their
health insurance, instead relying on their plans selection systems.
Prevention programs for driver’s $ 34 billion annual budget for mandatory 10 years, funding for programs for disease prevention grants from the Community of obesity in children and subsidies for small employers is subject to extension to build programs Labor Welfare.
Public Choice The public choice has been made in the center of the controversy was a centrist: the government is setting the rates with doctors and hospitals to negotiate, rather than tied their rates to Medicare. There is a sheet for members in rural areas who say that low rates of
health insurance leads to their doctors and hospitals into bankruptcy.
The bill also makes a reference to an idea of the Republicans leading insurance companies must be able to sell policies from one country to increase competition, the bill would allow states to conclude agreements with d 'do to others.
Nothing in the policy are complex, controversial or personal
health care, an industry that consumes $ 2.6 trillion dollars to spend $ 1 $ 6 American.
The Republicans responded quickly, stating that the business class will be a partisan issue. The Republican Party has increased the bill of the government and management of
health care, taxes, kill jobs, criticized cut Medicare and ultimately destroys private insurance companies. Senate Republican Leader Mitch McConnell accused Democrats' attack and the American people. “
The legislation has to go a long way. Leaders work hard to resolve a complaint by conservative Democrats, the use of public funds to perform abortions. The complex dynamics of the Senate, where every single senator can block legislation, it remains a wildcard.
The main provisions of the Law of Health Availability: Offers more than 36 million people have access to insurance extension to the roughly 96 percent of the U.S. population.
Choice: Creates a public election in which the government negotiations with suppliers, rather than the rate of binding prices for
health insurance.
Insurance Rates: significantly improved the exchange of insurance, under which can be persons who are not covered by the employer or work for small business plans, private and public decision making to choose.
Restrictions: Prohibited insurers canceled policies, if people get sick and to limit the scope for life, while people access to markets that otherwise would not receive coverage from pre-existing conditions.
Award: Impose 5.4 percent surtax on incomes of more than $ 500,000 per year and couples earning $ 1 million.