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Thread: US House Passes Key Healthcare Reform

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    US House Passes Key Healthcare Reform

    The US House of Representatives has narrowly voted to pass a landmark healthcare reform bill at the heart of President Barack Obama's agenda.

    The bill was passed by 219 votes to 212, with no Republican backing, after hours of fierce argument and debate.

    It extends coverage to 32 million more Americans, and marks the biggest change to the US healthcare system in decades.

    "We proved that we are still a people capable of doing big things," Mr Obama said in remarks after the vote.

    "This legislation will not fix everything that ails our health care system, but it moves us decisively in the right direction," he said.

    Mr Obama is expected to sign the legislation into law shortly.

    Historic vote

    The president has pulled off the most significant victory since his election 16 months ago, the BBC's Paul Adams reports from Washington.

    When the vote count hit the magic number of 216 - the minimum needed to pass the bill - Democrats hugged and cheered in celebration and chanted: "Yes we can!"

    Under the legislation, health insurance will be extended to nearly all Americans, new taxes imposed on the wealthy, and restrictive insurance practices such as refusing to cover people with pre-existing medical conditions will be outlawed.

    The Republicans have vowed to continue resisting it.

    They say the measures are unaffordable and represent a government takeover of the health industry.

    "We have failed to listen to America," said Republican party leader John Boehner.

    Speaking moments before the vote, House Speaker Nancy Pelosi said the health care reform honoured the nation's traditions.

    "We will be joining those who established Social Security, Medicare and now, tonight, healthcare for all Americans," she said, referring to the government's pension program and health insurance for the elderly established nearly 50 years ago.

    Although Democrats pushed the measure through with three votes to spare, 34 members joined Republicans in voting against the bill, worried about paying a political price in the November mid-term elections.

    In a last-minute move designed to win the support of a bloc of anti-abortion lawmakers, Mr Obama earlier on Sunday announced plans to issue an executive order assuring that healthcare reform will not change the restrictions barring federal money for abortion.

    Next steps

    A second smaller measure - a package of reconciliation "fixes" making changes in the first - cleared the House shortly before midnight.

    It was sent to the Senate, where Democratic leaders said they had the votes necessary to pass it quickly.

    According to the Congressional Budget Office, the final version of the Democrats' healthcare plan will cut the federal deficit by $138bn (92bn) over 10 years.

    The non-partisan body said the proposed legislation would cost about $940bn (626bn) over a decade.

    The reforms will increase insurance coverage through tax credits for the middle class and expansion of the Medicaid programme for the poor.

    They represent the biggest change in the US healthcare system since the creation in the 1960s of Medicare, the government-run scheme for Americans aged 65 or over.

    BBC.co.uk
    Surely to be a controversial topic over the coming weeks! Im not entirely sure how I feel about this given the amount we know of what is to ensue...but theoretically (being the key word for me) it seems like a great initiative to have finally passed. The way it actually pans out- now that'll be the defining factor!
    - D A V E -






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    I'm excited about it and really glad it passed.

    I'm worried that the crazy Teabaggers are gonna get violent, though.

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    Maybe I'm just thick but politics is always gobbledy-gook to me. In a nutshell what will this reform mean?

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    I'm just happy us Canadians have "free" healthcare

    I have no idea what that reform entails.

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    Basically what I have gotten out of it is there will be more taxes taken out of my paycheck and the lines will be forever to get a doctor, but at the same time you can't be denied insurance for a pre-existing condition? IDK How I feel about this whole thing.
    Are you in?

    Living in sin is the new thing...

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    What happened to freedom of choice? Obama said "it came from bottom up," which is complete crap because the big headed people voted from the top. We, the bottom citizens, had no say in this crap.

    1) I don't want to pay more taxes (payroll or annual) to provide money to other people. I'm struggling now with what I get paid, much less taking money out to pay for OTHERS health insurance.
    2) It's ridiculous that if you "opt-out" you end up paying a fine up to 2.5% of your annuals earnings. What happened to the right to choose?! 
    3) As Taylor said, the lines and service will be horendous. My dad was a VA patient (ventrans affairs/retired military/etc; all of which is government ran), and it took him WEEKS just to get a visit that lasted 10 minutes, 3 of that with an actual doctor. It was because of this my dad passed away. He was waiting on the government to approve heart tests. It had been two weeks since his request, he passed away. If he could have gotten in, he may still be here.
    4) The cost of living will go up everywhere. The prices of going to the doctor will go up (they can deny it all they want, but it's gonna happen), the machine prices will go ip (due to break down/wear and tear/etc). This will lead to people needing to get paid more just to pay for it (or tax increase) and everything else rises then.
    5) Speaking of jobs: if you're under a certain level, you get Medicaid. Enough said there: taxes gonna go up one way or another. Not to mention it gives people no motivation to try and achieve better because they're getting it free while people who do make more are paying for their asses. Just like welfare...it posses me off to pay for someone who has issues not going out and making a living like most people...
    6) You'll get taxed if you have a private provider. Are you shitting me? Not only can you not choose anymore if you even want insurance, but not they don't even want you to have private insurance.
    7) America can't even handle it's own debt NOW, but let's throw another almost trillion to it!!!! Smart move. Oh hai-btw, this will also lead to greater taxes!!!! GOBAMA!!! You totally lied to the face of America when you said no tax increase. Good job-bravo! I have nothing against him: I just hate liars and I hate people that try to control everything. Even if this is spread throughout 10 years, it's still a trillion added to the debt. How about we focus on our problems NOW and not this? We need to get stable before we try to change everyone. 
    8) Socialist country much? Government owns the banks, now owns student financial lending, and my health!!!! Woooo!!! What's next? What I can and can't wear??
    9) We'll be covering places that aren't even a part of the US: Puerto Rico (I know it's a territory but not us!), Duam, Somoan Islands, etc. We're not directly giving them health insurance but "so much" money every year towards their health. Again, how about we focus on rebuilding our tucked up economy right now and not that? We can't even survive right now! This is why we chose Obama.
    10) We have shitty service now. That's sad that's we're the number one country when it comes to medical crap and yet we are so far behind and so bad at what we do. Now let's just spread the bad around and also take time away from actually conducting research go find ways to improve it. People used to fly in to America to have crap done, now I can say we'll be flying out. The doctor's will be so overwhelmed on what they're doing because the wait will go from 100 people a day to easily 500. So now s/he has to rush through the crap just to be able to go home and rest.
       
    This bill is just all sorta of wrong and not enough "revamping." Thank goodness 38 states are challenging it. Where did our right to choose go? Ridiculous.

    Welcome to Socialistic America. Enjoy what you can while government doesn't have a hand in it, yet!

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    First of all, look up the word "socialist". Secondly, you do realize the government runs the mail service, taxes get taken out for school, fire department, police department, etc, right? Not to mention, the government is making sure you buy medical coverage, so not much is really changing except that you can now have affordable medical coverage; the government isn't providing the coverage.

    Also, you won't be taxed unless you make like $250,000.

    There are MILLIONS of Americans that cannot afford coverage. To not want to extend health care to them is selfish. Universal health care, which this isn't, works in plenty of other countries so I don't know why people are freaking out about this. It's fear. And Fox News.

    There are definitely things that need to be worked on regarding the bill, but there's a lot of good things too. Starting immediately, you can be covered under your parents' health insurance until the age of 26, which is GREAT if you're a recent grad and can't find a job. Trust me. You do not want to have to pay the high COBRA premiums! Plus, businesses over 50 employees HAVE to provide health care coverage. That's really beneficial and important. Six months after the enactment, insurance companies can no longer deny children coverage based on a preexisting condition. How can you argue with that? And in 2014, insurance companies cannot deny coverage to anyone with a preexisting condition.

    This is a great step!

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     You will be taxed. Did you not read that they are taking more out for Medicare? That's only the start.

    I love how everyone says Fox News is the problem for everything. How about everyone get their asses off the media and base it on facts? That makes more sense than Fox, C-SPAN, MSNBC, etc. 

    I told Jesse last night: how about we NOT look at parties and look at issues. Who gives a fuck about republican or democrat-it's a pathetic attempt at who's right/wrong based on a party-that's fucking ridiculous. Base it on the actual issue. The issue is that EVERYONE is paying for something that they DON'T HAVE AN OPTION ON! Hell, they even control what you can/can't watch on prime time TV...

    You only pay taxes on school if you own a house/property. You only pay car insurance if you drive a car. The government pays for protection agencies (fire, police, military) based on the Constitution. It doesn't say guarantee people's health-it does guarantee protection. Jesus-this bill FINES you if you don't have insurance. What kind of shit is that? How about we get OPTIONS. 

    Obama said, "This came from the bottom up..." yet it was all the big headed seats that chose. We, the true people that matter, didn't have a damn say in it-THAT'S why this is such a MASSIVE issue. The government is gradually controlling everything, which IS making it socialist-which inevitably leads to communism. I don't think it'll ever get that far, but it's definately heading that way! Obama's attempt is to help everyone yet he's hurting the people that matter to this country the most!

    I'm "poor," so I fall under the Medicaid, but think about it-poor people don't bring crap into this economy. It's those with money who are going on vacations, shopping sprees, high priced items-THOSE things bring in money to the economy. We SHOULD focus on the economy as we're still hanging by a thread, but instead now we're going to punish the people that are bringing in the money? Real smart America, real smart! 

    If universal healthcare os so great, how come people from those countries were coming here for quicker and better service? Obviously universal healthcare is flawed.

    It does have some good benefits: such as the kids issue, but to force it down someone's throat is ridiculous. What happened to our freedom to choose? We don't have that anymore and it's only getting worse.

    Call me selfish but you know DAMN WELL it pisses you, and others, off to be paying for some hoodrats food and housing when they are using the money they get to sell off for crack. Now I'm expected to pay for their health too? Fuck that! I'm not your baby mama/daddy.

    What about the small business mom/pop stores that barely make it now? They can't afford that crap, let's give them Medicaid! This inevitably leads to higher taxes in the long run and also a higher national debt.

    lol this is just one massively failed bill. There was not realistic negotiations. When you get to a point where the government is telling you what to do and by when, we have problems.

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    No, I don't care if I have to pay a little extra to get coverage for MILLIONS of Americans.

    Paying for the Plan:

    * Medicare Payroll tax on investment income -- Starting in 2012, the Medicare Payroll Tax will be expanded to include unearned income. That will be a 3.8 percent tax on investment income for families making more than $250,000 per year ($200,000 for individuals).
    * Excise Tax -- Beginning in 2018, insurance companies will pay a 40 percent excise tax on so-called "Cadillac" high-end insurance plans worth over $27,500 for families ($10,200 for individuals). Dental and vision plans are exempt and will not be counted in the total cost of a family's plan.
    * Tanning Tax -- 10 percent excise tax on indoor tanning services.

    More Fun Facts
    Also,
    18 Immediate Effects of the Health Care Bill

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    "4) ...the machine prices will go ip (due to break down/wear and tear/etc). This will lead to people needing to get paid more just to pay for it (or tax increase)..."
    Maybe it's just me but this sounds actually very rude.

    Sounds like you are saying that because more people can afford coverage...which will lead to less being really sick and/or dying...that more machines will break/wear and tear etc. and you think that's a horrible thing? I would think that since it won't really affect you, because you don't make $200,000/year, that you should be thankful.

    But I may be totally wrong since I haven't read in depth about the situation.

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