[E–pub] Landmark

Vernment Here s a rundownJuly 1 2010 tanning salons will pay an additional 10% taxAlso in 2010 Adult children can stay on their parent s health plans until age 26 Insurance companies will be banned from placing lifetime limits on coverage children with pre existing conditions cannot be denied and dropping coverage when someone gets sick cannot be done unless blatant fraud can be provenInteresting that insurance companies will be punished by not being allowed to participate in the upcoming Exchanges if they push limits raise rates unfairly etc while all this is coming togetherIn 2011 Employers will be reuired to disclose the value of health benefits on W 2 forms Annual fee will be imposed on drug companies the big ones agreed to it Chain restaurants of 20 or and vending machine food must disclose nutritional info It s about timeIn 2013 Threshold for claiming a medical deduction will increase from 75% to 10% 29% excise tax will be imposed for medical devices I was curious if this would include spasIn 2014 The American Health Benefit Exchange Exchanges will go into effect This is BIG and the book gives a lot of great information on what and how Who will get a subsidy there s a chart based on income and members in the family And the law states that if you have private insurance or are in a plan you like with your employer you do not have to participate in the Exchange Also exempt are American Indians who have their own plan and got a much needed increase with this Law Veterans and military personnel using their systemIllegal immigrants will not be allowed into the Exchanges And in order to receive aid must present tax form no longer will a pay stub suffice Pregnant illegal immigrants exemptThe Exchanges will have different tiers depending on the coverage you can affordBronze tier is the lowest and covers 60% of medical expenses Not clear if many health insurance companies will offer this tierSilver tier has 70% coverage and must be offeredGold tier has 80% coverage and must be offeredPlatinum tier has 90% coverageThere is also a plan for young people until they turn 30 that they may be able to purchase for about 100 per month If you are single and earn than 43320 you will not be eligible for any subsidy If you are in a family of four doesn t say married you will not be eligible for a subsidy if you earn than 88200Also a biggie is health companies will be reuired to cover preventive care including vaccines without meeting a deductible or co pay No annual or lifetime health benefit restrictions Businesses can no longer reuire a 90 day waiting period before you are eligible for the company planThere will NOT be criminal prosecution or property liens for failure to have Whether you are in favor of America s new health care law or not it s coming and already taking affect in some regards This is one of the most historic pieces of domestic legislation America has ever had and it affects every citizen so every citizen needs to read it The book begins with a short history of how health care was handled or lack thereof by almost every president of the 20th century It began with Teddy Roosevelt after his 2 terms as a Republican president who first proposed the idea while running for office again in 1912 as a Progressive candidate The first part is a narrative telling of the Democrat s pragmatic journey to move the current bill through congress which is a story worthy of its own book The hotly contested debates filled with rhetoric and scare tactics from both the left and the right the back room deals compromises and political rangling made this the single most important political issue of 2009 From the failed initiatives of the Clinton administration to the campaign with then Senator Obama s initial fumbling on the issue as a candidate for president to the current bill finally being signed into law on March 23rd 2010 This story will go down as one of the most important in the history of American government The second part outlines the provisions of the bill starting with the most pertinent the expansion of health care to 95% of the population the state exchanges and most controversially the mandate The facts are presented in a simple and for the most part easy to understand way Charts and timelines are presented To Show How And When The Provisions Of The Bill show how and when the provisions of the bill be enacted The tactical accusations of opponents are set straight such as Sarah Palin s death panels However the book never presents the bill as complete or perfect It gives every disclosure for the many risks involved mostly the fiscal ones For example the CBO reported that the bill would ultimately reduce the national deficit by 1 trillion dollars over the next 20 years a point vigorously repeated by proponents of the bill However the CBO also projected that at the depth the national debt will be 20 years from now the 1 trillion saved by the bill will not have significant effect in reducing it And the final section prints the official congressional summary of the bill for anyone interested in reading the primary language Most of the specifics are still way over my head but this book at least provides a general understanding of what is to come and will act as a great reference as we get closer to the law s full implementation in 2014 I ardently suggest everybody EVERYBODY read it This is important This is your life First of all the contents of this book aren t actually 497 pages long I guess the hardcopy version must have the full text of the act in it OR SOMETHING BUT I READ THE something but I read the version in a few days I provides an excellent overview of the ey battles that occurred in the crafting and enacting of the law as well as the highlights of the law itself all in a surprisingly compact package I think this book is important for anyone to reach now in these times when the actual implementation of the Patient Protection and Affordable Care Act is so prominent in the news The passions and pain of the Vietnam War have subsided to a degree to which we are now able to look at the broader achievements of the Johnson administration said playwright Robert Schenkkan whose Broadway show about the president All the Way is playing to packed house. His final package include The book’s second section provides an accessible summary of the legislation that Obama signed into law in March 2010 In the third section Washington Post writers answer the most pressing uestions about the health care legislation’s immediate impact Most importantly how will the new bill affect individuals small business owners uninsured Americans with pre existing conditions and twenty somethings on their parents’ policies This is a must read for anyone who wants to understand how this legislation came into being and what the new health care program means. LandmarkThis is a balanced introduction to the first comprehensive health care overhaul in the history of the United States I picked this book up from the library because I am working toward a Masters in Health Information Management The Patient Protection and Affordable Care Act of 2010 is going to significantly alter the way my industry operates I wanted to understand better the goals and policies behind this transition The book did not disappoint Three sections cover the story of the bill s passage the practical implications of the bill and a summary of the bill itself The first section is a fascinating peek into the political maneuvering and strategy it took to get the bill passed I remember the headlines a bit from 2010 Here you get of the drama through anecdotes The second section was the most useful to me As one of the young invincibles that has thus far declined to purchase health insurance after dropping off the parents plan I appreciated the discussion of the costs of caring for the uninsured The goal of universal coverage to my mind justifies the individual mandate as a tax as Justice Roberts recently dubbed it I also welcome the shift to a population health paradigm in thinking about how providers get paid We should be paying doctors to eep us healthy Currently we pay them to give us services when we are sick Promoting preventive care for everyone is a big part of this Will it save us money in the long run That s the big uestion Converting to electronic records reduces a lot of redundancy in records Steering patients away from emergency departments and inpatient stays toward regular office visits is another way to reduce costs As the book mentions however there are other factors to considerI skipped the third section because I m not a lawyer Reading the law itself is neither interesting nor useful to me Overall this book left me with a clearer positive understanding of the bill s intended effects on healthcare in America I certainly have some issues with the way Secretary Sebelius has chosen to implement the preventive care mandate but this book was printed before that discussion began I would recommend it to anyone interested in public policy A good guide to the new health reform law I really liked this book and I will tell you why It answered a ton of uestions for me about how this landmark legislation is intended to work and how it may or may not affect me The writing is very accessible although a basic understanding of insurance policy concepts such as cost sharing deductibles etc will be helpful as this understanding is assumed The book itself focuses on explaining the details of the plan itself such as the individual mandate insurance exchanges etc The approach is thorough without being overwhelming and helpful graphs accompany many chapters to visually corral the information There is also an attempt to provide background and context to help explain why a high number of uninsured is a problem as well as a history of how previous administrations have attempted to address the problemI felt that the tone of this book was informational and balanced in it s approach It does a good job of providing perspective from proponents and skeptics when discussing whether the provisions in the new plan will be effective and why certain approaches were included or not However since it is written by staff from The Washington Post I feel that their generally left leaning bias is subtly represented in #word choice and perspective This isn t much a problem just something to be aware of # choice and perspective This isn t much a problem just something to be aware of of your own political leaningsThe new health care law is broad and sweeping in it s intent This book does a very good job of bringing it broad and sweeping in it s intent This book does a very good job of bringing it the practical realm of understanding for the average american I wish there were books like this that concisely explain and summarize broad policy issues I ept up with the health care debate through newspapers and broadcast news but this book really brou Having been fed up frustrated and extremely angry many times at the state of health care in this country I whole heartedly cheered the attempts by Democrats to enact some ind of change for our system Change is obviously needed we spend nearly 3 times what other industrialized countries spend in terms of both dollars and as a percentage of GDP yet our health care ranks barely in the mediocre range by almost any form of measurement imaginable So what are we getting that those other countries don t for all the extra money we spend Among other things we get Less choice in selecting the plans that will work for us High risks and the resultant fear of being denied coverage simply for being poor or sick High risks of bankruptcy or financial destitution simply because of the illness of a family member especially the bread winner 30% of our population including millions of children who have no health care coverage Clearly we could do better as a nationEven as I welcomed attempts to improve if not fix our system I felt extreme disgust at the obstructionism of the Republicans who were obviously united in only one goal to score political points by causing the failure of any bill proposed or endorsed by President Obama What we got as a result of all the obstructionism political maneuvering favor swapping and dedicated hard work by some truly heroic individuals is what we ended up with There is no doubt that this bill could have been so much better if the divisiveness wasn t with There is no doubt that this bill could have been so much better if the divisiveness wasn t strong or if corporations didn t hold such influence over our elected leadersSo the book is a good summary of what changes are in store for individuals whether sick or well young or old families employees employers states doctors hospitals government administrators and every other agency or individual that deals with health care issuesIt made me realize how complex this issue is and how much simpler things could be if the overriding goal of health care policy in this country was the actual health of the citizenry rather than the profits of the associated corporations But at least we proved that change can happen Improvement will hopefully follow First and foremost while Landmark is over 250 pages not all of it will be of interest to all audiences. The Washington Post’s must read guide to health care reform traces how President Obama and the Democrats achieved this historic overhaul explains the legislation itself and shows how it will impact individual AmericansAfter a year long political war in March 2010 President Obama and the Democratic leaders of Congress achieved a victory that has eluded lawmakers for seventy five years an overhaul of America’s health care system In this indispensable book the staff of the Washington Post tells the story of health care reform and explains what it means for the American peopleIn the boo. ,


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If you re not sure if you want to commit to reading 250 pages about the Affordable Care Act that might be attractive as the core of the book is succinct and very accessible On the other hand if you ve been closely following the progress of the law and are looking for an in depth exploration of its nuances you may be left wanting Specifically the book is divided up into three very distinct parts The first 62 pages provide a history of efforts to pass healthcare reform concluding with a summary of what it took to get the ACA passed in 2010 The next 132 pages discuss the what the bill does and does not do how it s paid for and how it will impact different people The last 66 pages are a summary of the law and the reconciliation act prepared by the government It is the second section that most people will be buying this book forAs a political moderate I tend to be very sensitive to partisan rhetoric or bias And that can be difficult to avoid when covering a politically charged topic Nonetheless the Washington Post did a remarkable job providing a reasonably objective and balanced view Most of the chapters are provided without editorial Political rhetoric from both sides of the aisle is acknowledged then addressed based on what the actual law states Blatant myths are debunked while valid promises and criticisms are both evaluatedI suspect most people will walk away from this book concerned about some aspects of the law excited about others and surprised on any number of points If you re like me you ll eep the book on hand as a reference so you can clarify the many misconceptions perpetuated by partisan friendsThat said there are some disappointments in the book The biggest to me is that while it provides a condensed summary of the law itself the primary section doesn t cross reference it Ideally each point in the book would have cross referenced to that summary as a means of citing claims indexing content and making it easy for readers to dive into the details for areas that were of particular interest Positively the index does cover the summary of the lawThe second issue is not a fault of the book but of the fact that it was published shortly after the law passed in 2010 Since then a lot has changed There are uite a few areas of the law that are ambiguous and the book correctly notes that the final implementation will be largely dependent on how federal officials will translate the law into specific regulations Further aspects of the summary have been invalidated by the Supreme Court decision to allow states to opt out of Medicaid expansion Ideally I d love to see The Washington Post publish a second edition of the book with updates based on how the law has actually been implementedDespite those two considerations this remains a coherent and well structured summary of the law and a valuable reference for people eager to cut through the partisan shouting match Much of this book is written in that namby pamby journalistic style many economists believe many physicians think and remains resolutely unbiased and nonideological as you would expect from the WaPo uestions like why America s healthcare system is so radically different from others around the world to begin with go mostly unanswered and unasked which is mostly fair as that isn t intended to be the book s focus Issues like why the option was perceived to be such political poison are never addressed The uestion of why healthcare in America is so costlier than in other developed nations is touched on only briefly If one were wondering why Catholic bishops have such an outsized effect on the healthcare debate and policymaking one would need to seek other sources We ought to spend time as Americans wondering why things are the way they are these things are not preordained and they don t happen at random in a vacuum Dan Balz s introduction an overview of reform attempts over the last century is adeuate if short Ceci Connolly s summary of how the legislation got passed the obstacles the hurdles the shouting matches the stasis the wavering the arm twisting the sabotages the caving the unlikely triumph is paint by numbers The bulk of the book is chapters summarizing different aspects of the legislation These are helpful and informative Had a detailed review of this but when I went to save it I received the dreaded 504 error and the review was gone So disheartening Here goes another attemptFound Landmark easy to read and nicely laid out It is divided into three partsPart I How We Got There by Ceci ConnollyPresented a brief history of prior attempts to pass a health care reform and what happened in both the House and Senate during the Barack Obama administration Found this part informative as I only read or heard bits and pieces at the time and reading this section helped fill in some of the blanksThis part spent a lot of time on Nancy Pelosi and how she fought for women s right to choose and how churches wanted to use the Bill as a way to strip those rights Also explained what happened in the Senate and how those last votes came to be A few paragraphs on Joseph Lieberman and his rationale for holding out I m still scratching my head on that one though This section is only 62 pages long so very briefPart II What It Means for Us All by Alec MacGillis David Brown Howard Gleckman Amy Goldstein David S Hilzenrath Lori Montgomery and Shailagh Murray whewThis part contained graphs and was very well laid out It explained what changes were coming by timeperiod and what that could mean to us It explained how this 538 billion dollar reform would be funded and it settled the rumors that the media and other politicians threw around that were completely untrueI was relieved to read this part and learn about the Law A great deal of the pertinent details have not been ironed out yet And the bulk of the Law will not go into effect until 2014 For the most part what I got out of the book was the new Law will aim for prevention than treatment An analogy used in the book was that the health insurance industry would run like the electric companies The People That Participate The that participate the the rates can be and they will be governed and watched by the go. K’s first section the Washington Post’s reporter embedded in the White House provides a behind the scenes narrative of how Obama and the Democrats pushed through health care reform in the face of nearly unanimous Republican opposition This section traces the tortured evolution of the legislation showing how the Senate Donovans Child (Bravo Family, killed the public option how the January 2010 victory of Republican senator Scott Brown left the Democrats scrambling and how Democratic leaders ultimately negotiated among entrenched political factions including disillusioned Democrats to reach a compromiseWhat does

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