Wed Oct 3, 2012, 09:43 AM
trailmonkee (2,610 posts)
I gave this guy $10,000 to help my business... [View all]
I own a low cost hair salon, a place where you can get a men's haircut for about $15... I employ three full time employees, all women.When he was all done, I told him that I have made my decision, and I choose Option A. He told me I made the right choice and that he had a surprise for me.... The surprise was, Option A) was actually at no cost... he said that there are ways to cover the cost so that there is no money coming out of my pocket!! He said that I can keep my $10,000 and spend it however I want... or, I can still give it to that Billionaire up the street in hopes that he might come in for a haircut one day? It looks like he could use one:
I have $10,000 to spend on improving my business.... This guy told me he could help me, so I gave him the $10k.
He said, you have 2 options A) I can give you and your employees years of peace of mind by Guaranteeing Quality Health coverage for years to come... or B) I can give it to the Billionaire up the street in hopes that he might come in for a haircut one-day?
hmmmmm, that's a tough one.... I asked him to explain more about option 'A' this is what he laid out for me, he called option A 'Obamacare':
10 Things About Obamacare http://bit.ly/LJPWU2
1) Access to health insurance for 30 million Americans and lower premiums. More than 30 million uninsured Americans will find coverage under the law. Middle-class families who buy health care coverage through the exchanges will be eligible for refundable and advanceable premium credits and cost-sharing subsidies to ensure that the coverage they have is affordable.
2) The ability of businesses and individuals to purchase comprehensive coverage from a regulated marketplace. The law creates new marketplaces for individuals and small businesses to compare and purchase comprehensive coverage. Insurers will have to meet quality measures to ensure that Americans can access comprehensive coverage when they need it.
3) Insurers’ inability to discriminate against people with pre-existing conditions. Beginning in 2014, insurers can no longer deny insurance to families or individuals with pre-existing conditions. Insurers are also prohibited from placing lifetime limits on the dollar value of coverage and rescinding insurers except in cases of fraud. Insurers are already prohibited from discriminating against children with pre-existing conditions.
4) Tax credits for small businesses that offer insurance. Small employers that purchase health insurance for employees are already receiving tax credits to encourage them to continue providing coverage.
5) Assistance for businesses that provide health benefits to early retirees.The law created a temporary reinsurance program for employers providing health insurance coverage to retirees over age 55 who are not eligible for Medicare, reimbursing employers or insurers for 80% of retiree claims. The program has offered at least $4.73 billion in reinsurance payments to more than 2,800 employers and other sponsors of retiree plans, with an average cumulative reimbursement per plan sponsor of approximately $189,700.
6) Affordable health care for lower-income Americans. Obamacare extends Medicaid to individuals with incomes up to 138% of the federal poverty line, guaranteeing that the nation’ most vulnerable population has access to affordable, comprehensive coverage.
7) Investments in women’s health. Obamacare prohibits insurers from charging women substantially more than men and requires insurers to offer preventive services — including contraception — at no additional cost.
8) Young adults’ ability to stay on their parents’ health care plans. More than 3.1 million young people have already benefited from dependent coverage, which allows children up to age 26 to remain insured on their parents’ plans.
9) Discounts for seniors on brand-name drugs. Pharmaceutical manufacturers are required to provide a 50% discount on prescriptions filled in the Medicare Part D coverage gap. Seniors have already saved $3.5 billion on prescription drug costs thanks to the Affordable Care Act provision.
10) Temporary coverage for the sickest Americans. The law established temporary national high-risk pools that are providing health coverage to individuals with pre-existing medical conditions who cannot find insurance on the individual market. In 2014, they will be able to enroll in insurance through the exchanges. 67,482 individuals have already benefited from the program.
He went on to explain even more about how Option 'A' will help the women at my business:
8 Ways Women Will Benefit Under Obamacare http://bit.ly/N0BiIH
1. Obamacare guarantees coverage of preventive services with no cost sharing. Preventive care promotes health and saves money. Yet many preventive care services are out of women’s reach due to high co-pays, deductibles, and co-insurance. More than 50 percent of women have delayed seeking medical care due to cost, and one-third of women report forgoing basic necessities to pay for health care. But under the health reform law, insurers are now required to cover recommended preventive services such as mammograms, Pap smears, and well-baby care without cost sharing. More than 45 million women have already taken advantage of these services. And starting this August more services, including contraception, gestational diabetes screening, and breastfeeding supports, will be added to the list of preventive care that must be covered at no additional cost.
2. Maternity care will be required in new insurance plans. Coverage for maternity care—health care that only women need—is routinely excluded in the individual insurance market. Only 12 percent of plans sold in the individual market even offer maternity coverage, which is frequently inadequate because of waiting periods or deductibles that can be as high as the cost of the birth itself. But once Obamacare is fully implemented in 2014, about 8.7 million women will have guaranteed access to maternity care in all new individual and small group plans.
3. Women will no longer be denied insurance coverage for gender-related reasons. In today’s insurance market, it is common for insurers to refuse to cover women because of gender-based “pre-existing conditions,” such as having had a Cesarean section or being the victim of domestic violence or sexual assault. Thankfully, this practice will be outlawed under Obamacare in 2014. In the meantime, adults with pre-existing conditions who have been uninsured for at least six months can purchase affordable coverage through temporary Pre-existing Condition Insurance Plans.
4. Women will no longer be charged more for their insurance coverage just for being women. Under a practice known as “gender rating,” insurers currently charge women higher premiums than men for identical health benefits. As a result, women now pay $1 billion more than men each year for the same health plans in the individual market. As of 2014, however, under the Affordable Care Act, gender rating will become illegal in all new individual and small group plans.
5. Women have more control over their health care. Already, women no longer need a referral to see their obstetrician-gynecologist thanks to Obamacare. And they get to choose their primary care physician and their child’s pediatrician from their plan’s list of participating providers.
6. Women will gain better access to affordable health insurance. Starting in 2014 women and their families, as well as small businesses, will receive tax credits on an income-based sliding scale to help purchase insurance coverage. This will help individuals who earn up to $43,000 per year and up to $92,200 for families of four. Also in 2014 up to 10.3 million women will gain insurance coverage when Medicaid expands its income eligibility to include people with incomes below 138 percent of the federal poverty level—less than $15,000 for individuals and about $31,809 for a family of four in 2011. The health law also eliminates Medicaid’s categorical requirements, so that low-income women who meet the income requirements can be enrolled even if they have no children and are not pregnant.
7. Insurance companies can no longer place limits on the amount of money they’ll spend on covered medical expenses. Women are more likely than men to suffer from a chronic condition, and an unforeseen medical emergency or a chronic illness can cause an insured person to rapidly reach a coverage cap in their insurance plan, leaving enrollees to fend for themselves, sometimes with thousands of dollars in unpaid medical bills. But under Obamacare lifetime coverage caps have been eliminated and annual limits are being phased out. Approximately 39.5 million women have already benefited from the ban on lifetime caps.
8. Women and their families benefit from critical consumer protections in Obamacare. Because women use health care services at higher rates on behalf of themselves and their families, ensuring just insurance practices is of critical importance. The Affordable Care Act has already eliminated the practice of “rescission,” when an insurance policy ends the moment a beneficiary gets sick. The health law also requires insurers to spend at least 80 percent of premiums on actually providing health care, as opposed to administrative costs, or pay enrollees a rebate. Policyholders and employers will receive approximately $1.3 billion in premium rebates this year alone.
9. Women in marginalized communities are seeing reforms that respond to their needs. Women of color, lesbian and bisexual women, and transgender people are disproportionately uninsured and subject to higher rates of health disparities. Obamacare is making critical strides in providing vulnerable women with quality health care through increased access to insurance coverage, increased funding for community health centers, promoting health literacy and cultural competency, prohibiting discrimination in the health insurance market, and improving data collection. For instance, already an estimated 5.5 million African Americans, 6.1 million Latinos, 2.7 million Asians, and 0.3 million Native Americans, many of them women, have received preventive service coverage with no cost sharing under the health reform law.
10. Mothers have peace of mind, knowing that their children have health insurance. Obamacare prohibits insurers from denying coverage to children under age 19 because of pre-existing conditions. And adult children can now stay on a parent’s plan up to age 26, an especially helpful provision in this tough economy, where finding a job with benefits is challenging. Young women in particular report delaying needed health care because of high costs. To date, 2.5 million young adults have gained coverage under the Affordable Care Act.
(on a side note - I do not own a hair salon.... this is just one example in a thousand I could think of)
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I gave this guy $10,000 to help my business... [View all]