"The overall $940 billion plan is projected to extend insurance coverage to
roughly 32 million additional Americans. It represents a significant step
toward the goal of universal coverage sought by every Democratic president
since Harry Truman.

Most Americans will now be required to have health insurance or pay a fine.
Larger employers will be required to provide coverage or risk financial
penalties. Total individual out-of-pocket expenses will be capped and
insurers will be barred from denying coverage based on gender or
pre-existing conditions."

What the Bill does:

"The plan, according to CBO projections, will cut budget deficits by more
than $1 trillion in its second decade.

It will subsidize insurance for a family of four making up to about $88,000
annually, or 400 percent of the federal poverty level.

It also creates a series of health insurance exchanges designed to make it
easier for small businesses, the self-employed and the unemployed to pool
resources and purchase less expensive coverage.

Medicaid will be significantly expanded, ensuring coverage to those earning
up to 133 percent of the poverty level, or just over $29,000 for a family of
four.

The bill cuts projected Medicare spending by roughly $500 billion, in part
through reductions in the Medicare Advantage program. Democratic leaders
have promised the reductions will not affect service to Medicare recipients.

The bill hikes Medicare payroll taxes on families making more than $250,000.

Starting in 2013, it also imposes a 40 percent tax on insurance companies
providing "Cadillac" health plans valued at more than $8,500 for individuals
and $23,000 for families."

Proponents of the tax on high-end plans say it's one of the most effective
ways to curb medical inflation. However, many Democrats oppose taxing such
policies because it would hurt union members who traded higher salaries for
more generous health benefits.

Ultimately this means less Americans will die due to not being able to
afford health care.I still don't understand why this was such a hard fight
to have passed, the principle seems obvious. It's incredible that not a
single Republican voted for the bill, however.

A friend of mine was telling me his cousin in the US had to work two jobs,
one of them was just for the health insurance benefits. He's one person who
was probably singing and dancing in his living room on Sunday.


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