Nevertheless, this bill is a big deal and had it not passed now, we'd of probably been looking at another 10-15 years before there was a large enough Democratic majority in Congress to get this done.
The essentials of this bill are:
1- A National Exchange where people can comparison shop for coverage (think Orbitz/Travelocity)
2- Tougher regulations/rules on insurers (no more denying coverage because you forgot to mention you had asthma as a kid and this counts as a pre-existing condition which you failed to account for in your coverage).
3- Required coverage for everyone. This makes many people gasp, but the truth is, #2 couldn't work without this one, since insurance companies would be overrun by people buying coverage when they get sick or injured, getting treatment, then canceling afterwards.
4- Subsidies for people with incomes low enough to make private coverage unaffordable but too high to qualify for Medicaid (makes #3 more palatable).
It will be interesting to see how this all plays out in the November primaries this year.
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