Health Care Changes Wouldn’t Have Big Effect for Many

The NY Times featured an article about the roughly 160 million workers and their dependents who already have health insurance through an employer. As the article relates:

For many people, the result of the long, angry health care debate in Washington may be little more than more of the same.

As President Obama once promised, “If you like your health plan, you can keep your health plan.”

That may be true even if you don’t like your health plan. And no one seems to agree on whether the legislation will do much to reduce workers’ continually rising out-of-pocket costs.

True, there is an important advantage for the working insured: more peace of mind for people who are worried about being laid off or would like to change jobs.

There are still many gaps to bridge between the House and Senate bills. But even before the House-Senate negotiations begin in January, both bills offer this assurance: If you lose your job or move to one that does not provide benefits, there should be better alternatives when shopping for your own coverage.

And both the House and Senate bills share the same basic goal of placing new rules on insurers so that even someone with a pre-existing medical condition, or a few years to go before qualifying for Medicare, should have a much easier time finding a relatively affordable policy.

The legislation should give most working people “the guarantee of security if their circumstances change,” said Karen Davis, the president of the Commonwealth Fund, an independent research group that has studied the House and Senate bills.

Of course, with more security will come more obligation. Congress seems likely to impose an individual mandate that will require people to be insured or face a financial penalty.

The other proposed changes for employer-provided coverage seem aimed mainly at workers whose benefits are either very generous or exceedingly skimpy. Read more here.