Affordable Care Act

To buy or pay the penalty? That is the question that will confront many U.S. residents in the coming months, when open enrollment season begins for health insurance coverage, under the terms of the Affordable Care Act (ACA), also known as Obamacare. ACA will be fully implemented on January 1, 2014, when most legal U.S. residents will be required to have “minimum essential health coverage” or make a “shared responsibility payment,” as the Congressional Budget Office puts it in regulations it rolled out last fall. 

The state legislative session is now in full swing, and lobbyists and advocates are descending on Sacramento to talk health care coverage – who should be eligible and how they should get it. It's a debate you might have expected Obamacare to end. But though California and millions in our state will benefit when the president's plan kicks in next January, about 3 million to 4 million Californians, the majority of whom are legal residents, will remain uninsured.

As Bobby Jindal begins to lay seeds for a possible run for the White House, approval at home seems to be falling for the Louisiana Governor. The new survey finds Louisiana voters are as conservative as ever, backing the Governor’s refusal to implement the Affordable Care Act, known as Obamacare to critics, by a 13 point margin. However, in a bright sign for Democrats, it also shows that the local electorate has grown slightly critical of Jindal’s refusal of expanded Medicaid dollars.

In the highly charged, relentlessly partisan political climate of today, one only worsened by the ongoing presidential campaign, it is sometimes easy to forget that Romney isn’t exactly the Republican base’s favorite son.  Indeed, in their fervent desire to defeat President Obama, the dislike and distinct distrust that many on the far right have for Governor Romney has been effectively swept under the proverbial rug. If, however, Romney is successful in his quest for the presidency, this unity on the right will likely prove transient.

There was never much doubt that if the Supreme Court ever got a chance to decide the constitutionality of the health care reform law that it would be in for rough sledding from the court’s five conservatives. The judicial torpedoing of the law will hurt millions of poor, working-class Americans who desperately need health care, but couldn’t get affordable care before the law was passed, and are just as unlikely to get affordable care if it’s struck down. It’s no mystery who among those millions will be hurt the most.

The primary issue before the U.S. Supreme Court this week is the debate over whether the federal government can compel people to buy a product, in this case health insurance. But just as important is the secondary challenge to the Affordable Care Act’s (ACA) expansion of Medicaid to cover million of currently uninsured, low-income people. If this is upended, it could flood the courts with legal challenges to a wide range of other laws on everything from environmental protection to civil rights.

While some say health care reform may not have gone far enough, the “three big things” it delivers are greater protection for consumers against insurance companies through the new health Patient’s Bill of Rights, expansions in health care coverage and control of health care costs.

From New America Media: PCIP is a part of President Obama's healthcare plan that guarantees access to insurance for U.S. citizens with preexisting conditions, who have been uninsured for at least six months. Knowing that the major changes under the Affordable Care Act (ACA) wouldn’t kick in until 2014, Democrats made sure to include provisions that would take effect quickly, as a bridge to 2014 – and before the 2012 election.