Presentation on the Affordabl

1. The Affordable Care Act
It’s Impact on the Fight Against Cancer
Call
(218) 339-2409
Access Code:
381 6693
To hear 1
presentation

2. Our Health Care
Principles
• Health Care Freedom must be restored.
Medical decisions should be controlled by
patients in consultation with their healthcare
providers, without interference from insurance
companies
• Everyone should have health security, – the
ability to purchase quality coverage at a fair and
affordable price.
• Health Care discrimination by insurance
companies is a violation of fundamental
Call
(218) 339-2409
rights, especially against people with
Access Code: preexisting conditions, and must be outlawed.
381 6693
To hear 2
presentation

3. The Affordable Care Act
The new national health care law, achieves
these principles
--Passed March 23, 2010
--Reforms Come in 2 Stages
Call
(218) 339-2409
Access Code:
381 6693
To hear 3
presentation

4. Stages of Reform
Stage 1 (in effect now)
• Outlaws worst health insurance
abuses including denials based on
preexisting conditions for children
(adults with preexisting conditions will be
covered in 2014).
• Creates new standards for
insurance, such as allowing young
Call
(218) 339-2409 adults to stay on parents policies
Access Code:
381 6693
To hear
until they are 26. 4
presentation

5. Stages of Reform
Stage 2 (goes into effect 2014)
• Expand BadgerCare (Medicaid) to almost
all low income Wisconsinites.
• Create competitive health marketplace to
guarantee coverage to everyone who
does not have good insurance at work.
• Require Members of Congress to buy the
same plans offered to everyone else in
the new marketplace.
Call
(218) 339-2409
Access Code:
• Strengthen Medicare for Seniors.
381 6693
To hear 5
presentation

6. Stage 1 Reforms
Insurance Practices Outlawed now
under the Affordable Care Act
• Preexisting condition exclusions (kids now/
everyone in 2014)
• Lifetime limits
• Dropping coverage after a person gets sick
• Excessive insurance industry profits and
overhead (80-85% of your premium dollars
Call
(218) 339-2409 must be spent on medical care, not profits)
Access Code:
381 6693
To hear 6
presentation

7. Stage 1 Reforms
The Affordable Care Act guarantees
• Preventive care coverage (ex: Mammograms,
checkups, etc) with no cost sharing (co-pays,
deductibles, etc)
• Young adults can stay on parents policies
until age 26
• Immediate access to coverage for people
with serious pre-existing conditions
through high-risk pools
Call
(218) 339-2409 • Preventive care without cost sharing for
Access Code:
381 6693
To hear
seniors on Medicare 7
presentation

8. Stage 1 Reforms
More guarantees
• Requires health plans to cover essential
benefits such as coverage for cancer
screening, treatment and follow-up care
• Limits out-of-pocket maximums for
individuals and families enrolling in
qualified health plans
• Gives patients new right to appeal denied
claims with their insurer
Call
(218) 339-2409
Access Code:
381 6693
To hear 8
presentation

9. The Affordable Care Act Ends
Discrimination for 2.5 Million
Wisconsinites Under 65
• Nearly 1 Million in Wisconsin under age
65 have a preexisting conditions that
would deny coverage to them if they
bought insurance on their own
• An additional 1.5 million non-elderly
Wisconsinites have preexisting conditions
that could cause them to be denied
coverage or charged excessive rates.
Call (Source: U.S. Department of Health & Human Services, January 2011)
(218) 339-2409
Access Code:
381 6693
To hear 9
presentation

10. Just Some of the Examples of
Preexisting Conditions
Call
(218) 339-2409
Access Code:
381 6693
To hear 10
presentation

11. The Faces of Reform
How the Affordable Care Act is
already helping people
across Wisconsin who would
otherwise be the victims of
health insurance
discrimination
Call
(218) 339-2409
Access Code:
381 6693
To hear 11
presentation

12. Sami’s Story
“My 7-year-old son, Sami, suffers from a
disease that causes tumors to grow all
over his body. Sami’s treatments
could not continue if we hit our
insurance policy’s life time limit.
Thanks to the Affordable Care Act,
insurance companies can no longer
impose lifetime limits or deny health
coverage to children like Sami with
preexisting conditions. We can’t go
back to being on our own against the
insurance companies.”
Call --Tracy, Appleton, Wisconsin
.
(218) 339-2409
Access Code:
381 6693
To hear 12
presentation

13. Remy’s Story
“I own a small café. Over 20 years ago
I beat cancer, but ever since then no
insurance company would sell me a
policy because my cancer is called a
preexisting condition. Starting in 2014
under the Affordable Care Act, no
insurance company will be allowed to
discriminate against me because I’m
a cancer survivor.”
Call --Remy, Pepin, Wisconsin
(218) 339-2409
Access Code:
381 6693
To hear 13
presentation

14. Stage 2: Guaranteed
Affordable Health Care
(2014)
• Wisconsin, with federal funding,
creates a new competitive health
marketplace, while keeping what
works now in place.
• The new health marketplace options
are voluntary. If you have good
coverage through your job you can
Call
(218) 339-2409
keep it.
Access Code:
381 6693
To hear 14
presentation

15. Competitive Health
Marketplace for
Middle Class
• Created by each state to meet unique
needs by 2014.
• Access through website, similar to
Travelocity or Consumer Reports, chose
your own private insurance carrier and
standards benefits plan.
• System voluntary: can stay with current
health insurance if it works for you.
Call
(218) 339-2409• Consumers in control, with clear
Access Code:
381 6693
To hear
information, clear comparisons, and real 15
presentation competition.

16. Competitive Health
Marketplace
• Makes coverage more secure by ensuring
that people cannot be denied coverage
due to preexisting conditions or have
coverage dropped when they get sick.
• Members of Congress will be required to
get their coverage through the same
competitive marketplace
• Makes coverage more affordable, by
providing tax credits on a sliding scale to
middle class Wisconsinites.
Call
• Bans discriminatory pricing based on
(218) 339-2409 medical condition, age, or gender.
Access Code:
381 6693
To hear 16
presentation

17. Gender Discrimination
• Under our current system, women are
charged more then men by health insurers.
• This and other kinds of discrimination are
outlawed in the new competitive health
marketplace.
Call
(218) 339-2409
Access Code:
381 6693
To hear 17
presentation

18. Stabilizes & Expands
BadgerCare to low income
Wisconsinites
• BadgerCare expanded to include every
citizen who meets income requirements
• Wisconsin’s contribution of BadgerCare
expansion is substantially reduced.
• Eliminates the risk of BadgerCare cuts.
• Affects 337,000 Wisconsinites Badger-
Care (Medicaid) recipients with serious
Call
(218) 339-2409 and chronic diseases such as Cancer,
Access Code:
381 6693 Lung Disease, Diabetes & Heart Disease.
To hear 18
presentation

19. Strengthen Medicare
The Affordable Care Act protects
Medicare benefits for seniors and
strengthens the program for future
generations by
• cracking down on waste, fraud, and
abuse in Medicare,
• ending handouts to insurance
companies, and
Call
(218) 339-2409
• providing free preventive care to
Access Code:
381 6693 decrease costly emergency room visits
19
To hear
presentation and reduce health care costs long-term.

20. Faces of Reform
The human impact of the new
competitive health marketplace . . . .
Call
(218) 339-2409
Access Code:
381 6693
To hear 20
presentation

21. John’s Story
"I have a tooth that is in infected and needs to be
removed, which normally costs $100, but
because I have Hemophilia the drugs are
between $50,000 & $100,000 just to stop the
bleeding. I have been denied insurance because
of my condition, any employer-based care would
require me to wait a year. I have no way of
dealing with my conditions the way things are
now. That is why I am looking forward to the new
health marketplace."
Call
(218) 339-2409 --John, Small Business Owner, Albany, WI
Access Code:
381 6693
To hear 21
presentation

22. Steve’s Story
"I suffered from a deteriorating spine
problem for about 10 years...We
discovered what so many Americans
have had the misfortune of
discovering-It was impossible to
purchase health insurance on the free
market if you were considered high
risk (had a pre-existing condition)...We
applied many times over the years to
every health insurance company we
could find and were flat out rejected…
with little other option I took a 20 hour
flight to Malaysia to get treatment.
Under the Affordable Care Act, I will
Call
have a right to coverage so I can get
(218) 339-2409 treatment here in the U.S.”
Access Code:
381 6693 --Steve, Verona, Wisconsin
To hear 22
presentation

23. We Must Change
• Health costs increased over 200% in
Wisconsin since 2000
• Est: 45,000 individuals die each year
because of lack of access to coverage
• Majority of all bankruptcies in America are
Medical Bankruptcies
Call
(218) 339-2409 • Our current system incentivizes waiting
Access Code:
381 6693 on treatments through deductibles & co-
23
To hear
presentation
pays instead of early treatment

24. The Affordable Care Act is
Worth Protecting
• Guarantees health care freedom.
Working families no longer can be
denied coverage for preexisting
conditions, lose their coverage when
they get sick, or have to haggle with
insurance companies about claims and
crucial medical treatments.
• Everyone will have the peace of mind of
knowing that they and their families
have guaranteed access to affordable
Call
(218) 339-2409 coverage options, no matter what..
Access Code:
381 6693
To hear 24
presentation

25. Affordable Care Act is
Worth Protecting
• Increased opportunity: families will not
be forced into bankruptcy when
someone gets sick, and will be free to
pursue economic opportunities without
being constrained by health insurance
access issues.
• Wisconsin should work to improve
the new law by implementing it in a way
that works for everyone, not special
Call
(218) 339-2409 interests such as the health insurance
Access Code:
381 6693 industry. 25
To hear
presentation

26. How You Can Help
• Our speaker’s bureau is always looking
for new chances to speak. Invite us to
your next event!
• We need speakers to present this
presentation to others, generally only
once a month, let us know if you’re
Call
interested!
(218) 339-2409
Access Code:
381 6693
To hear 26
presentation

27. Questions?
• Kevin Kane • Dawn Anderson
Healthcare Organizer Executive Director
Citizen Action of Wisconsin Wisconsin Breast Cancer Coalition
414 550 8280 (cell) 414-963-2103
kevin.kane@citizenactionwi.org wbcc@standupandspeakout.org
facebook.com/got.healthcare facebook.com/got.healthcare
citizenactionwi.org standupandspeakout.org
27