The Clinton Herald, Clinton, Iowa

Food & Health

September 16, 2013

Haves and have-nots as health care markets open

WASHINGTON — Having health insurance used to hinge on where you worked and what your medical history said. Soon that won’t matter, with open-access markets for subsidized coverage coming Oct. 1 under President Barack Obama’s overhaul.

But there’s a new wild card, something that didn’t seem so critical when Congress passed the Affordable Care Act back in 2010: where you live.

Entrenched political divisions over “Obamacare,” have driven most Republican-led states to turn their backs on the biggest expansion of the social safety net in a half century. If you’re uninsured in a state that’s opposed, you may not get much help picking the right private health plan for your budget and your family’s needs.

The differences will be more glaring if you’re poor and your state rejected the law’s Medicaid expansion. Unless leaders reverse course, odds are you’ll remain uninsured. That’s because people below the poverty line do not qualify for subsidies to buy coverage in the markets.

“We are going to have a new environment where consumers may be victims of geography,” said Sam Karp of the California HealthCare Foundation, a nonprofit helping states tackle practical problems of implementation. “If I’m a low-wage earner in California, I may qualify for Medicaid. With the exact same income in Texas, I may not qualify.”

The health care law is finally leaving the drawing boards to become a real program with citizens participating. But in many parts of the country, the decisions of Republicans opposed to the law will trump the plans of Democrats who wrote it.

Still, there is a new bottom line. Health insurance marketplaces in every state will provide options for millions of people who don’t have job-based coverage, who can’t afford their own plan or have a health problem that would get them turned down. The feds will run the markets in states that refused to do so.

Text Only
Food & Health
  • A 'wearable robot' helps her walk again

    Science is about facts, numbers, laws and formulas. To be really good at it, you need to spend a lot of time in school. But science is also about something more: dreaming big and helping people.

    April 23, 2014

  • Center warns people of fertilizer dangers IOWA CITY (AP) -- Doctors at the University of Iowa Burn Treatment Center are worried by a spike in injuries from anhydrous ammonia, a chemical used to fertilize corn crops. The center usually sees one or two cases of burns in a year, but this spring

    April 23, 2014

  • New Americans turn to goats to address food demand COLCHESTER, Vt. -- A bunch of kids in a minivan are solving twin challenges in northern Vermont: refugees struggling to find the food of their homelands and farmers looking to offload unwanted livestock. The half dozen kids -- that is, baby goats --

    April 22, 2014

  • FDA Electronic Cigarettes-3 [Duplicate] Industry awaits federal regulation RICHMOND, Va. -- Smokers are increasingly turning to battery-powered electronic cigarettes to get their nicotine fix. They're about to find out what federal regulators have to say about the popular devices. The Food and Drug Administration will propo

    April 22, 2014 1 Photo

  • Do your genes make you procrastinate?

    Procrastinators, in my experience, like nothing better than explaining away their procrastination: General busyness, fear of failure, and simple laziness are just a handful of the excuses and theories often tossed around. Now researchers from the University of Colorado Boulder have added another option to the list: genetics.

    April 21, 2014

  • Kids get codeine in ER despite risks, guidelines

    Despite recommended limits on codeine use in children, the potent painkiller is prescribed for children in at least half a million emergency room visits each year, a study suggests.

    Use of the drug in that setting is hardly rampant — just 3 percent of kids' ER visits resulted in a codeine prescription in 2010, the 10-year study found. But with more than 25 million ER visits by children each year, the authors say far too many kids are getting the drug when better options are available.

    April 21, 2014

  • USDA orders farms to report pig virus infections MILWAUKEE -- Farms stricken with a deadly pig virus must report outbreaks as part of a new program to help monitor and possibly control the spread of the disease, the federal government announced Friday. Porcine epidemic diarrhea has killed millions

    April 19, 2014

  • The case for separate beds

    The other night I slept on a twin bed in the guest room of the house I share with my husband and our two kids.
    It was the best night's sleep I've had in years.

    April 17, 2014

  • Raw oysters spike U.S. rise in bacterial infections, CDC reports

    Raw oysters, so good with hot sauce, increasingly can carry something even more unsettling to the stomach: A bacteria linked to vomiting, diarrhea and pain.

    April 17, 2014

  • Study: Diabetic heart attacks and strokes falling

    In the midst of the diabetes epidemic, a glimmer of good news: Heart attacks, strokes and other complications from the disease are plummeting.

    Over the last two decades, the rates of heart attacks and strokes among diabetics fell by more than 60 percent, a new federal study shows. The research also confirms earlier reports of drastic declines in diabetes-related kidney failure and amputations.

    April 17, 2014

Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.