Why I Support Healthcare Reform | healthcare

After months of discussion and negotiation, the US Senate voted on its healthcare reform bill on Christmas Eve. The US House of Representatives passed its version of healthcare reform in November which means it is likely that a bill will be on President Obama’s desk in early 2010. This legislation would mark the first major expansion of healthcare coverage in the United States since Medicare and Medicaid were created in 1965.I worked on the last healthcare reform effort as a member of the Clinton Healthcare Reform Task Force and Legislative Director to Congressman Eliot Engel (D-NY). I believe this legislation is important and will be an improvement over our current healthcare system which does not work and cannot be sustained in its current form.Helping the UninsuredThere are current 47 million Americans who have no health insurance. The uninsured are both an economic and social problem. They are an economic problem because the uninsured raise the cost of health insurance by over $1,000 per year for every family. Most uninsured people get care through emergency rooms which are required to treat everyone regardless of their ability to pay. These are hidden costs which are passed along to everyone in the form of higher insurance premiums.The uninsured are a social problem because people die when they do not have health coverage and cannot get the medical services they need. A recent study by Harvard Medical School found that 45,000 per year die because they don’t have health insurance. That is unconscionable in a country as wealthy as the United StatesThe bills being discussed in Congress will provide a substantial expansion of healthcare coverage. By 2019, the House bill would provide coverage to an addition 37 million Americans while the Senate bill would provide insurance for an additional 31 million. The bills would ensure that approximately 95% of Americans have health insurance.Cost ControlThe US spends more for healthcare than any of its major competitors and gets less for it than any other industrialized country. In 2007, the US spent $2.2 trillion dollars on healthcare which represents 16.2 percent of our economy. Healthcare costs have been increasing sharply in the past decade and the current trends are unsustainable.Both the House and Senate bills have cost containment measures in them. It is expected that the House bill will reduce the federal deficit by $104 billion over ten years while the Senate bill reduce the federal deficit by $127 billion over ten years. Additionally, the bills are expected to lower insurance premiums for most Americans including a reduction of almost 50% in the individual insurance market.Consumer Protections Both the House and Senate bills provide important consumer protections to help ensure that people get the coverage they purchase and deserve. Some of the most important include:

Elimination of “pre-existing conditions” a practice used to deny coverage for chronic conditions including diabetes, high blood pressure and arthritis?
Providing a yearly limit on consumer out of pocket medical expenses.?
Removing dollar caps on how much medical treatment insurers will pay for.?
Preventing the use of medical underwriting, a practice that allows insurers to charge more to people who are sick or suffer from chronic conditions.
Requiring insurers to spend a minimum amount of insurance premiums on medical care. The target is expected to be set around 85% of premiums.
The bills would also establish federal regulation of health insurance instead of the uneven state by state system which exists today. This will help ensure that consumers get strong protections regardless of where they live.Why The Senate Bill Is an Improvement Over the Current SystemFew people are arguing in favor of maintaining the status quo in our current healthcare system so most of the debate has centered on which direction reform should take. In many ways I prefer the House bill because it provides coverage to a larger number of people and establishes a public insurance option which will provide more competition in the private insurance market.The Senate bill does not include a public option but is still a major improvement over our current healthcare system. It aggressively tackles the problem of the uninsured, helps control medical costs, and provides important consumer protections regardless of what state a person lives in.History shows the chance to enact major changes to our healthcare system comes along every 15-20 years. There is a tendency to run away from healthcare reform after it has failed. We cannot afford to wait a decade or two to address this issue again. I support passing the Senate bill and working to improve it because enacting a flawed healthcare reform bill now is far better than to trying to pass the perfect bill and ending up with nothing.

A Simple Way to Manage Investments | investing

One investment criterion important to many people, and perhaps to you, is: How easy are my investments to supervise? For example, does the investment require constant care, supervision, or expense, such as the complete or partial ownership of real estate property with its rental, repair, maintenance, taxation, and other management problems?Or does the investment require none of your time, such as your contributions to a pension fund? Some people feel confident and enjoy the time and effort that may go into managing their investments. Others have neither the skill, time, nor patience to bother with their investments. There are investments that satisfy both groups, depending on personal objectives.The best method to manage all investments is the Investment Portfolio Evaluation Grid. It is a great chart to help organize your present portfolio, even if your investments right now are some money in a savings account, or an IRA or pension plan.Start by creating 7 columns and input the following: Date, Cost, Present Market Value, % Total Portfolio Market, Annual Return, Yield, and % Return on Market.Next, input all your investments on the left in rows: Savings Accounts, U.S. Savings Bonds, Treasury Securities, Certificate of Deposit, Bonds-Tax-Free, Common Shares-Dividends, Preferred Shares, Blue-Chip Shares, Real Estate, Second Mortgages & Trust Deeds, IRA & Keogh Accounts, Pension Plans, Insurance Annuities, Growth Stocks, Undeveloped Real Estate, Precious Metals, Stock Options, Commodity Contracts, Commercial Paper, Other, and Total Portfolio.Determine the percentage of the market value of your portfolio as a whole. Divide the present market value of the individual investment by the total present market value of your portfolio. Determine the percentage of what it costs you to make an investment. This is easy to figure with interest bearing investments. A $1,000 10% bond you paid $1,000 for has a 10% yield. On stocks or real estate, estimate yield by dividing the amount of increase in value and/or dividend by the amount you paid. For example, if you paid $100 for a stock and received a $5 cash dividend, the yield would be 5%. Determine the percentage of the return on your portfolio as a whole. Divide the annual dollar return on all investments by the total present market value of your portfolio.For each investment you now have, fill in all the information you can in the columns to the right. The last three columns (Annual Return, Yield, and % Return on Market), tell how your investments have performed for you, as well as their relative value within your portfolio. If you do not have exact numbers for everything, do not worry. At this point you are just seeking an overview of what you have. A big picture will start to form that indicates how your money is allocated. You can also see what types of investment vehicles serve your objectives.If you are like many people who are just starting to invest, your grid is heavily weighted toward protection of principle. You may not even be aware of some of the listed investments. Before you get into the characteristics of different investments, you will benefit greatly from having a reference point with which to evaluate the various investment opportunities. Consider all the personal factors in your financial picture, including the other people affected by the decisions you will make.Forecast as much as possible, where your current and potential income sources will take you 5-20 years from now. What standard of living is important to you now and in the future? Will you need to provide for children? Do you wish to retire early? Where do you want to allocate investment and other disposable income? To a house in the hills? In world travel? To building a business?These and dozens of other personal questions should get some serious thought at this point. Do not be rigid. Expect your priorities and goals to change. But better a mutable plan for the future than none at all. Allow yourself to dream and get excited about the possibilities. Though it is difficult, even dangerous, to generalize about what investment objectives are most important to different groups, the following information will give you broad guidelines to consider, if you are:a) Single, with low to average working income, with a savings-oriented temperament, seek investments that produce income but that also provides some long-term capital growth.b) Single, with an average to high working income, and/or an aggressive temperament, seek investments with strong total return (the sum of the current yield and the capital-gain yield), concentrating on long-term, and high-growth vehicles.c) Married, with no dependents earning an average to high income growth-oriented but aggressive, look at safe income-producing investments, such as bonds and money-market mutual funds.d) Married, with dependents, a low to average income and a conservative temperament, seek secure investments with long-term growth in both capital and income, perhaps blue-chip stocks.e) An older person, with income from Social Security and some savings, and a goal of more income while preserving current capital, seek a conservative income fund that pays dividends and has appreciation value, or a money-market fund with a satisfactory yield.Take a look at your new chart and you will see Percentage of Portfolio typically allocated to investments goals. You can use this as a guideline when considering how to allocate your investment money. However, at a younger age, safety and capital gain has greater weight. In later years the need for income and safety of principle tends to increase.


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