I think you know my response. This is a huge change to healthcare and it takes time. Procedures at both federal and state level have to be worked out, insurance companies have to adjust, risk pools have to be setup, and Medicaid has to change in ever state. I suspect that budgetary concerns were the major reason for delaying several parts of the bill. From the list below you see a lot of the changes will be implemented well before 2014.
You suspect a lot of truth, but why wait so long? Why deliberately front load the taxes to drive down the costs, and pass off taxing Cadillac plans to keep the unions happy? If this was a good idea people would accept the fact that cost would rise initially but go down in the long run.
Instead they promised that costs would go down immediately, and the smart people in the Democrat party are admitting that this law will not perform as promised.
-Children can not be denied by health insurers for pre-existing conditions (the adults get this perk in 2014)
And, as a result, many parents that preferred to purchase separate policies for their children are no longer able to do so. This will drive up the costs of health care for the entire family, and force some people who were previously bale to purchase insurance to do without.
-Small businesses (less that 50 employees) will be able to receive tax credits covering 50% of the employees premiums in 2014
Tax credits are actually extra taxes on all companies that employ over 50 people. This will dramatically increase the cost of expanding payroll for small businesses, and stifle economic growth.
-Seniors will get a rebate to fill the so-called "donut hole" in Medicare drug coverage in 2010, which severely limits prescription medication coverage expenditures over $2,700. Starting in 2011, those that fall in the donut hole pay 50% less for brand name drugs.
Sounds good, doesn't it. The fact that it increases the deficit is obviously irrelevant to anyone who benefits.
-Children may stay on their parents health insurance until they are 26 starting in Sept 2010
Dramatically increasing the health care costs of the average family as they now are responsible for their children an additional 8 years. This will also serve to drive up premiums because of the inability of insurers to limit lifetime expenditures.
-Annual caps on the amount of insurance of insurance disappears in 2014
Heaven forbid that people actually be stuck with only getting what they agreed to in the first place. You do know that policies that do not limit expenditures already exist, but no one wants to pay for them. Now everyone will have to, ain't life grand.
-Adults with pre-existing conditions will be put in the "high-risk" pool until insurance companies will be forced to take them on in 2014
Another thing that sounds wonderful in theory.
-Insurance plans must include preventative care such as check-ups (will affect all plans in 2018)
Just another gimmick to drive up costs for everyone, even if they prefer to pay out of pocket.
-Insurance companies can no longer cut people when they become ill. 2010 and 2011.
Please, give me some numbers on this. How many people lost coverage because they became sick every year?
-Indoor tanning services tax goes into effect in 2010
Why?
-enhanced fraud abuse screening procedures in 2014
Yep, those will work.
-Medicare expansion to rural hospitals in 2010
If they accept it.
-Chain restaurants will be required to put a Nutrient Content Disclosure next to their items in 2011
Another job killing provision. The independent testing required is going to cost hundreds of thousand dollars, which means a lot of restaurants will choose not to expand past the point where this provision is triggered. I know of one chain I really like that is trying to decide which of its busy locations to close rather than pay for this, which will mean that around 50 people will be looking for new jobs.
That is just one local chain, how many jobs will be lost across the country? Why do you think this is a good thing?
-Better coverage for people who retire early
Thus driving up costs across the board, not just in health care, but pensions and social security. Or did you miss the fact that we are living longer than we used to?
-New website to help americans seek out affordable health insurance options in 2010
More government propaganda, how wonderful. What good will this actually accomplish when most states only allow a few companies to sell insurance inside their borders?
-Mandatory Health Insurance and subsidies in 2014
I am going to be forced to buy something I don't want, how wonderful.
-Encouraging investment in new therapies that will prevent people from getting sick in ?
The government spending more money to take the things I like away. What can possibly go wrong?