Changes

[[File:ObamaCareSymbol.jpg|thumb|right|150px|Image courtesy [[Newsbusters]].]]

[[File:ObamaCareSymbol.jpg|thumb|right|150px|Image courtesy [[Newsbusters]].]]

'''Obamacare''', formally known as "'''The Patient Protection and Affordable Care Act'''," will impose massive penalties on young workers, small businesses and others who choose not to buy expensive health insurance, beginning in 2014.  Obamacare is the biggest handout by [[liberals]] to a single interest group &mdash; the health insurance industry &mdash; in [[America]]n history.  Even [[Democrat]]ic Senator  [[Jim Webb]] admitted in 2012: Obamacare "cost [[Obama]] a lot of credibility as a leader."<ref>http://thehill.com/blogs/healthwatch/politics-elections/222259-sen-webb-says-president-obamas-health-law-cost-him-a-lot-of-credibility-as-a-leader</ref> On June 28, 2012, the [[Supreme Court of the United States]] upheld the constitutionality of Obamacare &mdash; by only one vote, 5-4 &mdash; as being within the taxing power of the federal government.  Since then, leading Democrats have described Obamacare as a "train wreck," and [[union]]s increasingly agree with [[conservatives]] that Obamacare should be repealed.<ref>http://thehill.com/business-a-lobbying/300881-labor-unions-break-ranks-on-health-law</ref>

'''ObamaCare''', formally known as "'''The Patient Protection and Affordable Care Act'''," (ACA) will impose massive penalties on young workers, small businesses and others who choose not to buy expensive health insurance, beginning in 2014.  ObamaCare is the biggest handout by [[liberals]] to a single interest group &mdash; the health insurance industry &mdash; in [[America]]n history.  Even [[Democrat]]ic Senator  [[Jim Webb]] admitted in 2012: Obamacare "cost [[Obama]] a lot of credibility as a leader."<ref>http://thehill.com/blogs/healthwatch/politics-elections/222259-sen-webb-says-president-obamas-health-law-cost-him-a-lot-of-credibility-as-a-leader</ref> On June 28, 2012, the [[Supreme Court of the United States]] upheld the constitutionality of Obamacare &mdash; by only one vote, 5-4 &mdash; as being within the taxing power of the federal government.  Since then, leading Democrats have described ObamaCare as a "train wreck," and [[union]]s increasingly agree with [[conservatives]] that Obamacare should be repealed.<ref>http://thehill.com/business-a-lobbying/300881-labor-unions-break-ranks-on-health-law</ref>

The [[Association of American Physicians and Surgeons]] (AAPS) pointed out that there are no redeeming provisions of Obama's health care plan.<ref>http://www.aapsonline.org/newsoftheday/00377</ref>  AAPS observes that Obama's health care plan will significantly increase the overall cost of health care for a majority of United States citizens, plus reduce the quality of care that a [[free market]] system would otherwise provide.<ref>http://www.aapsonline.org/newsoftheday/00377</ref>

The [[Association of American Physicians and Surgeons]] (AAPS) pointed out that there are no redeeming provisions of Obama's health care plan.<ref>http://www.aapsonline.org/newsoftheday/00377</ref>  AAPS observes that Obama's health care plan will significantly increase the overall cost of health care for a majority of United States citizens, plus reduce the quality of care that a [[free market]] system would otherwise provide.<ref>http://www.aapsonline.org/newsoftheday/00377</ref>

Obamacare is opposed by many state governors, including [[Florida]] Governor [[Rick Scott]].  He declared after the Supreme Court ruling, "I will not implement this law. Florida will not implement Obamacare." Scott encouraged other states to reject Obamacare in three ways:

Obamacare is opposed by many state governors, including [[Florida]] Governor [[Rick Scott]].  He declared after the Supreme Court ruling, "I will not implement this law. Florida will not implement Obamacare." Scott encouraged other states to reject Obamacare in three ways:

*opt out of the expensive Medicaid provision in Obamacare, which would incur massive costs in extending free care to those over the poverty line

*opt out of the expensive Medicaid provision in ObamaCare, which would incur massive costs in extending free care to those over the poverty line

*refuse to set up a [[health-insurance exchange]] - "If there were any value added by these exchanges, the private sector would be doing it already," Governor Scott observed

*refuse to set up a [[health-insurance exchange]] - "If there were any value added by these exchanges, the private sector would be doing it already," Governor Scott observed

*repeal Obamacare in Congress, which requires electing a [[Republican]] majority in the [[U.S. Senate]]

*repeal Obamacare in Congress, which requires electing a [[Republican]] majority in the [[U.S. Senate]]

Obamacare was passed by [[Congress]] on March 21, 2010, and signed into federal law by President [[Barack Obama]] on March 23. This law furthers the process of [[Socialism|socializing]] the [[United States]] [[health care]] system begun with [[Medicare]].<ref>Epic [[Direct_spending#New_spending|new spending]] and taxes, pricier insurance, rationed care, dishonest accounting: The Pelosi health bill has it all. [http://online.wsj.com/article/SB10001424052748703399204574505423751140690.html Nancy Pelosi's New Health-Care Bill], ''[[The Wall Street Journal]]'', November 01, 2009.</ref><ref>[[President Obama]], Senate Majority Leader [[Harry Reid]] and House Speaker [[Nancy Pelosi]] rammed Obamacare down the throats of an unwilling American public. Half a year removed from the unprecedented legislative chicanery and backroom dealing that characterized the bill's passage, much more is known about the bill than when it was passed into law. [http://www.washingtonexaminer.com/opinion/Obamacare-is-even-worse-than-critics-thought-960772-103571664.html Examiner Editorial: Obamacare is even worse than critics thought], ''Washington Examiner'', September 22, 2010.</ref>  The centerpiece of Obamacare is the individual mandate, a provision that makes it mandatory for every citizen to purchase private health insurance, which is unprecedented in American history. Through legislative mandates, Obamacare requires private citizens to purchase health insurance, involuntarily fund [[abortion]]s, and pay for sex offenders to use Viagra under the threat of legal sanctions if they do not. The new law imposes penalties that will increase to 2.5% of one's income if he fails to purchase government-approved health insurance.  

Obamacare was passed by [[Congress]] on March 21, 2010, and signed into federal law by President [[Barack Obama]] on March 23. This law furthers the process of [[Socialism|socializing]] the [[United States]] [[health care]] system begun with [[Medicare]].<ref>Epic [[Direct_spending#New_spending|new spending]] and taxes, pricier insurance, rationed care, dishonest accounting: The Pelosi health bill has it all. [http://online.wsj.com/article/SB10001424052748703399204574505423751140690.html Nancy Pelosi's New Health-Care Bill], ''[[The Wall Street Journal]]'', November 01, 2009.</ref><ref>[[President Obama]], Senate Majority Leader [[Harry Reid]] and House Speaker [[Nancy Pelosi]] rammed Obamacare down the throats of an unwilling American public. Half a year removed from the unprecedented legislative chicanery and backroom dealing that characterized the bill's passage, much more is known about the bill than when it was passed into law. [http://www.washingtonexaminer.com/opinion/Obamacare-is-even-worse-than-critics-thought-960772-103571664.html Examiner Editorial: Obamacare is even worse than critics thought], ''Washington Examiner'', September 22, 2010.</ref>  The centerpiece of Obamacare is the individual mandate, a provision that makes it mandatory for every citizen to purchase private health insurance, which is unprecedented in American history. Through legislative mandates, Obamacare requires private citizens to purchase health insurance, involuntarily fund [[abortion]]s, and pay for sex offenders to use Viagra under the threat of legal sanctions if they do not. The new law imposes penalties that will increase to 2.5% of one's income if he fails to purchase government-approved health insurance.  

On June 28, 2012, the Supreme Court voted 5–4 that, while Obamacare exceeded Congress’s authority under the commerce clause, the law was a permissible tax under the Constitution.  <ref>[http://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf]</ref>.  The constitutionality of Obamacare was originally challenged under the theory that it exceeded the limitations of the commerce clause; more than 20 federal lawsuits have been filed against Obamacare since President Barack Obama signed it into law.<ref>By Janet Adamy and Evan Perez. [http://online.wsj.com/article/SB10001424052748704058704576015631138296112.html?mod=WSJ_hp_MIDDLENexttoWhatsNewsForth Federal Judge to Rule on Health Law's Constitutionality], WSJ.com, December 13, 2010.</ref><ref>By Rep. [[Lamar Smith]]. [http://www.foxnews.com/opinion/2011/01/19/rep-lamar-smith-voting-repeal-new-health-care-law/ REP. LAMAR SMITH: Why I Am Voting to Repeal the New Health Care Law], ''[[Fox News]]'' (FoxNews.com), Published January 19, 2011.</ref> In total, 27 states have started or joined in a lawsuit against Obamacare.<ref>Brandon Stewart. [http://blog.heritage.org/2011/01/17/list-of-states-suing-over-obamacare/ List of 27 States Suing Over Obamacare], heritage.org, January 17, 2011.</ref>  A federal judge ruled on 13 December 2010 that a central component of Obamacare, the requirement that most Americans carry insurance or pay a penalty, violates the Constitution. U.S. District Judge Henry E. Hudson is quoted as saying the law "exceeds the constitutional boundaries of congressional power."<ref name=unconstitutional>Judge Rules Mandatory Insurance Unconstitutional; First Round of Long Battle. [http://online.wsj.com/article/SB10001424052748703727804576017552229615230.html?mod=WSJ_hp_LEADNewsCollection Court Strikes at Health Law], By Janet Adamy (WSJ.com), December 14, 2010.</ref> Then on 31 January 2011 federal judge Roger Vinson ruled that as a result of the unconstitutionality of the "individual mandate" that requires people to buy insurance, the entire law must be declared void.<ref>[http://www.foxnews.com/politics/2011/01/31/judges-ruling-health-care-lawsuit-shift-momentum-coverage-debate/ Judge Rules Health Care Law Is Unconstitutional], [[Fox News|FoxNews.com]], Published January 31, 2011.</ref><ref>[[Rush Limbaugh]]. [http://www.rushlimbaugh.com/content/home/daily/site_020111/content/01125106.guest.html Obamacare Ruled Unconstitutional, But Fight for Repeal Must Continue], RushLimbaugh.com, February 1, 2011.</ref> The U.S. district judge declared Obamacare unconstitutional because it violates the [[Commerce Clause]]. In a footnote attached to the ruling, federal judge Roger Vinson cited Barack Obama's position in 2008 from an interview with [[CNN]], when Obama stated that, "If a mandate was the solution, we can try that to solve homelessness by mandating everybody to buy a house."<ref>Stephen Dinan. [http://www.washingtontimes.com/news/2011/jan/31/judge-uses-obamas-words-against-him/ Judge uses Obama’s words against him], ''[[The Washington Times]]'', January 31, 2011.</ref>

On June 28, 2012, the Supreme Court voted 5–4 that, while ObamaCare exceeded Congress’s authority under the commerce clause, the law was a permissible tax under the Constitution.  <ref>[http://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf]</ref>.  The constitutionality of Obamacare was originally challenged under the theory that it exceeded the limitations of the commerce clause; more than 20 federal lawsuits have been filed against Obamacare since President Barack Obama signed it into law.<ref>By Janet Adamy and Evan Perez. [http://online.wsj.com/article/SB10001424052748704058704576015631138296112.html?mod=WSJ_hp_MIDDLENexttoWhatsNewsForth Federal Judge to Rule on Health Law's Constitutionality], WSJ.com, December 13, 2010.</ref><ref>By Rep. [[Lamar Smith]]. [http://www.foxnews.com/opinion/2011/01/19/rep-lamar-smith-voting-repeal-new-health-care-law/ REP. LAMAR SMITH: Why I Am Voting to Repeal the New Health Care Law], ''[[Fox News]]'' (FoxNews.com), Published January 19, 2011.</ref> In total, 27 states have started or joined in a lawsuit against Obamacare.<ref>Brandon Stewart. [http://blog.heritage.org/2011/01/17/list-of-states-suing-over-obamacare/ List of 27 States Suing Over Obamacare], heritage.org, January 17, 2011.</ref>  A federal judge ruled on 13 December 2010 that a central component of ObamaCare, the requirement that most Americans carry insurance or pay a penalty, violates the Constitution. U.S. District Judge Henry E. Hudson is quoted as saying the law "exceeds the constitutional boundaries of congressional power."<ref name=unconstitutional>Judge Rules Mandatory Insurance Unconstitutional; First Round of Long Battle. [http://online.wsj.com/article/SB10001424052748703727804576017552229615230.html?mod=WSJ_hp_LEADNewsCollection Court Strikes at Health Law], By Janet Adamy (WSJ.com), December 14, 2010.</ref> Then on 31 January 2011 federal judge Roger Vinson ruled that as a result of the unconstitutionality of the "individual mandate" that requires people to buy insurance, the entire law must be declared void.<ref>[http://www.foxnews.com/politics/2011/01/31/judges-ruling-health-care-lawsuit-shift-momentum-coverage-debate/ Judge Rules Health Care Law Is Unconstitutional], [[Fox News|FoxNews.com]], Published January 31, 2011.</ref><ref>[[Rush Limbaugh]]. [http://www.rushlimbaugh.com/content/home/daily/site_020111/content/01125106.guest.html Obamacare Ruled Unconstitutional, But Fight for Repeal Must Continue], RushLimbaugh.com, February 1, 2011.</ref> The U.S. district judge declared Obamacare unconstitutional because it violates the [[Commerce Clause]]. In a footnote attached to the ruling, federal judge Roger Vinson cited Barack Obama's position in 2008 from an interview with [[CNN]], when Obama stated that, "If a mandate was the solution, we can try that to solve homelessness by mandating everybody to buy a house."<ref>Stephen Dinan. [http://www.washingtontimes.com/news/2011/jan/31/judge-uses-obamas-words-against-him/ Judge uses Obama’s words against him], ''[[The Washington Times]]'', January 31, 2011.</ref>

The [[Congressional Budget Office]] (CBO) estimates the invasive revenue generating device could produce as much as $36 billion over ten years.<ref>[http://allnurses-central.com/world-news-current/proposed-senate-plan-405168.html Proposed Senate Plan Would Involve IRS in Collecting Fines from Non-participants], ALLNURSES CENTRAL, Jul 03, 2009.</ref> The fines are euphemistically dubbed "shared responsibility payments."<ref>http://www.unitedliberty.org/articles/cbo-reports-entitlements-and-shared-responsibility</ref>  Employers would be required to deduct the penalties from employees' paychecks.<ref>http://www.aapsonline.org/newsoftheday/00421</ref>  The State of [[Massachusetts]] has had a similar program in place for several years, and many have elected to pay the penalties rather than purchase insurance, and many remain uninsured.<ref>http://www.aapsonline.org/newsoftheday/00421</ref>  

The [[Congressional Budget Office]] (CBO) estimates the invasive revenue generating device could produce as much as $36 billion over ten years.<ref>[http://allnurses-central.com/world-news-current/proposed-senate-plan-405168.html Proposed Senate Plan Would Involve IRS in Collecting Fines from Non-participants], ALLNURSES CENTRAL, Jul 03, 2009.</ref> The fines are euphemistically dubbed "shared responsibility payments."<ref>http://www.unitedliberty.org/articles/cbo-reports-entitlements-and-shared-responsibility</ref>  Employers would be required to deduct the penalties from employees' paychecks.<ref>http://www.aapsonline.org/newsoftheday/00421</ref>  The State of [[Massachusetts]] has had a similar program in place for several years, and many have elected to pay the penalties rather than purchase insurance, and many remain uninsured.<ref>http://www.aapsonline.org/newsoftheday/00421</ref>  

Obamacare will do more than detrimentally impact healthcare accessibility.  According to the [[Heritage Foundation]], Obama is intentionally sacrificing millions of jobs, at a time when unemployment is around 10%, with the Medicare surtax without any objective exception of increases in revenues.<ref>http://www.heritage.org/Research/Reports/2010/03/Obamas-Capital-Gains-Tax-Hike-Unlikely-to-Increase-Revenues</ref> Obamacare will cost 650,000 U.S. jobs if it is not repealed. The Congressional Budget Office says the figure would be more than 800,000 people would lose their jobs. <ref>[http://www.weeklystandard.com/blogs/cbo-director-says-obamacare-would-reduce-employment-800000-workers_547288.html CBO Director Says Obamacare Would Reduce Employment by 800,000 Workers, Weekly Standard, February 10, 2011]</ref>

ObamaCare will do more than detrimentally impact healthcare accessibility.  According to the [[Heritage Foundation]], Obama is intentionally sacrificing millions of jobs, at a time when unemployment is around 10%, with the Medicare surtax without any objective exception of increases in revenues.<ref>http://www.heritage.org/Research/Reports/2010/03/Obamas-Capital-Gains-Tax-Hike-Unlikely-to-Increase-Revenues</ref> ObamaCare will cost 650,000 U.S. jobs if it is not repealed. The Congressional Budget Office says the figure would be more than 800,000 people would lose their jobs. <ref>[http://www.weeklystandard.com/blogs/cbo-director-says-obamacare-would-reduce-employment-800000-workers_547288.html CBO Director Says Obamacare Would Reduce Employment by 800,000 Workers, Weekly Standard, February 10, 2011]</ref>

==Bill History==

==Bill History==

===Background===

===Background===

In the 1940's in the wake of World War II, European countries and Canada rebuilt their health care systems on a single-payer model.  However, the United States continued its system of private health care insurance, which was largely paid by employers to cover the health care of employees.  Rep. John Dingell, Sr. introduced a bill to establish a national system of health care.  When Dingell died in 1955, his son was elected to represent the same Michigan district in Congress. John Dingell, Jr. introduced the National Health Insurance Act, to provide universal health care in each session of congress.<ref>{{cite web|url=http://dingell.house.gov/issue/health-care|title=Health Care|accessdate=April 10, 2014}}</ref>  In the Senate, [[Edward M. Kennedy]] advocated universal health care.

In the 1940's in the wake of World War II, European countries and Canada rebuilt their health care systems on a single-payer model.  However, the United States continued its system of private health care insurance, which was largely paid by employers to cover the health care of employees.  Rep. John Dingell, Sr. introduced a bill to establish a national system of health care.  When Dingell died in 1955, his son was elected to represent the same Michigan district in Congress. [[John Dingell]], Jr. introduced the National Health Insurance Act, to provide universal health care in each session of congress.<ref>{{cite web|url=http://dingell.house.gov/issue/health-care|title=Health Care|accessdate=April 10, 2014}}</ref>  In the Senate, [[Edward M. Kennedy]] advocated universal health care.

In 1965, Congress passed the law establishing Medicare - a single-payer insurance program for citizens over 65, which was funded through a federal payroll tax.

In 1965, Congress passed the law establishing [[Medicare]] - a single-payer insurance program for citizens over 65, which was funded through a federal payroll tax.

The United States Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) in 1986. EMTALA requires hospitals and ambulance services to provide care to anyone needing emergency treatment regardless of citizenship, legal status or ability to pay. EMTALA applies to virtually all U.S. hospitals. As a result, many people who could not afford to see a doctor came to hospital emergency rooms for non-emergency care. Because EMTALA does not have a way of paying for this care, hospitals raised the rates charged to other patients to cover these costs.

The United States Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) in 1986. EMTALA requires hospitals and ambulance services to provide care to anyone needing emergency treatment regardless of citizenship, legal status or ability to pay. EMTALA applies to virtually all U.S. hospitals. As a result, many people who could not afford to see a doctor came to hospital emergency rooms for non-emergency care. Because EMTALA does not have a way of paying for this care, hospitals raised the rates charged to other patients to cover these costs.

-Barack Obama before Planned Parenthood, July 17, 2007<ref>nrlccomm (2009, August 18). "[http://www.youtube.com/watch?v=Cqww8jmizug Obama Promises Abortion in Public Plan]." ''YouTube''.</ref>}}

-Barack Obama before Planned Parenthood, July 17, 2007<ref>nrlccomm (2009, August 18). "[http://www.youtube.com/watch?v=Cqww8jmizug Obama Promises Abortion in Public Plan]." ''YouTube''.</ref>}}

===Democrat Supermajority===

===Democratic Supermajority===

On April 28, 2009, the 2008 [[Wall Street Journal's]] prediction of a '[[Liberal]] [[Supermajority]]'<ref>(2008, October 17). "[http://online.wsj.com/article/SB122420205889842989.html A Liberal Supermajority]." ''Wall Street Journal''.</ref> proved correct; as the defection of Senator [[Arlen Specter]] from the [[Republican Party]] to the [[Democratic Party]] put the Democrats on the verge of one of the rarest blessings in politics, a Supermajority - complete control of the [[House]], [[Senate]], and [[Presidency]] so that they wouldn't need a single Republican vote to pass bills.<ref>Davis, S. (2009, April 28). "[http://blogs.wsj.com/washwire/2009/04/28/sen-specter-to-switch-parties-democrats-near-60-vote-majority/ Sen. Specter To Switch Parties, Democrats Near 60 Vote Majority]." Washington Wire. ''Wall Street Journal''.</ref> Senator Bernie Sanders then urged the Democrat party to pursue single-payer healthcare reform.<ref>keithmsnbcer (2009, April 29). "[http://www.youtube.com/watch?v=iGYBbFMeFNc Bernie Sanders on Ed Show]." ''MSNBC''. YouTube.</ref> On May 16, 2009, [[Barack Obama]] urged [[Congress]] to pass health care reform within the year, stating, "Our businesses will not be able to compete; our families will not be able to save or spend; our budgets will remain unsustainable unless we get health care costs under control".<ref>(2009, May 16). "[http://www.google.com/hostednews/afp/article/ALeqM5js3WXGJZSiC4UpHS8rzfumBXGd-w Obama Urges Health Care Reform by Year's End]." ''AFP''.</ref> On July 1, 2009, [[Al Franken]] was finally declared the winner of his election (narrowly winning by 312 votes<ref>Gilbert, K. (2009, July 1). "[http://www.lifesitenews.com/news/al-franken-win-hands-supermajority-to-senate-democrats Al Franken Win Hands Supermajority to Senate Democrats]." ''LifeSiteNews''.</ref>), giving the Democrats their desired Supermajority, and a clear path towards [[healthcare]] reform which Republicans would be powerless to stop.<ref>Hulse, C. (2009, July 1). "[http://www.nytimes.com/2009/07/02/us/politics/02cong.html Congressional Memo - What's So Super About a Supermajority?]" ''New York Times''.</ref> Nevertheless, sickness of [[Ted Kennedy]] and [[Robert Byrd]] along with several other factors led to question marks about the supermajority's strength.<ref>Pergram, C. (2009, July 1). "[http://www.foxnews.com/politics/2009/07/01/democrats-senate-supermajority-strong-advertised/ Democrats' Senate Supermajority Not As Strong As Advertised]." ''FOX News''.<br>Stewart, J. (2009, July 1). "[http://www.thedailyshow.com/watch/wed-july-1-2009/indecision-2008---franken-s-time Indecision 2008 - Franken's Time]." The Daily Show With Jon Stewart. ''Comedy Central''.</ref> Democrats maintained this Supermajority until February 5, 2010, when Republican [[Scott Brown]] was sworn in to replace deceased Senator [[Edward Kennedy]].<ref>(2010, February 5). "[http://www.washingtontimes.com/news/2010/feb/05/democrats-lose-supermajority-brown-sworn/ Democrats Lose Supermajority as Brown Sworn In]." ''Associated Press''.</ref>

On April 28, 2009, the 2008 [[Wall Street Journal's]] prediction of a '[[Liberal]] [[Supermajority]]'<ref>(2008, October 17). "[http://online.wsj.com/article/SB122420205889842989.html A Liberal Supermajority]." ''Wall Street Journal''.</ref> proved correct; as the defection of Senator [[Arlen Specter]] from the [[Republican Party]] to the [[Democratic Party]] put the Democrats on the verge of one of the rarest blessings in politics, a Supermajority - complete control of the [[House]], [[Senate]], and [[Presidency]] so that they wouldn't need a single Republican vote to pass bills.<ref>Davis, S. (2009, April 28). "[http://blogs.wsj.com/washwire/2009/04/28/sen-specter-to-switch-parties-democrats-near-60-vote-majority/ Sen. Specter To Switch Parties, Democrats Near 60 Vote Majority]." Washington Wire. ''Wall Street Journal''.</ref> Senator Bernie Sanders then urged the Democrat party to pursue single-payer healthcare reform.<ref>keithmsnbcer (2009, April 29). "[http://www.youtube.com/watch?v=iGYBbFMeFNc Bernie Sanders on Ed Show]." ''MSNBC''. YouTube.</ref> On May 16, 2009, [[Barack Obama]] urged [[Congress]] to pass health care reform within the year, stating, "Our businesses will not be able to compete; our families will not be able to save or spend; our budgets will remain unsustainable unless we get health care costs under control".<ref>(2009, May 16). "[http://www.google.com/hostednews/afp/article/ALeqM5js3WXGJZSiC4UpHS8rzfumBXGd-w Obama Urges Health Care Reform by Year's End]." ''AFP''.</ref> On July 1, 2009, [[Al Franken]] was finally declared the winner of his election (narrowly winning by 312 votes<ref>Gilbert, K. (2009, July 1). "[http://www.lifesitenews.com/news/al-franken-win-hands-supermajority-to-senate-democrats Al Franken Win Hands Supermajority to Senate Democrats]." ''LifeSiteNews''.</ref>), giving the Democrats their desired Supermajority, and a clear path towards [[healthcare]] reform which Republicans would be powerless to stop.<ref>Hulse, C. (2009, July 1). "[http://www.nytimes.com/2009/07/02/us/politics/02cong.html Congressional Memo - What's So Super About a Supermajority?]" ''New York Times''.</ref> Nevertheless, sickness of [[Ted Kennedy]] and [[Robert Byrd]] along with several other factors led to question marks about the supermajority's strength.<ref>Pergram, C. (2009, July 1). "[http://www.foxnews.com/politics/2009/07/01/democrats-senate-supermajority-strong-advertised/ Democrats' Senate Supermajority Not As Strong As Advertised]." ''FOX News''.<br>Stewart, J. (2009, July 1). "[http://www.thedailyshow.com/watch/wed-july-1-2009/indecision-2008---franken-s-time Indecision 2008 - Franken's Time]." The Daily Show With Jon Stewart. ''Comedy Central''.</ref> Democrats maintained this Supermajority until February 5, 2010, when Republican [[Scott Brown]] was sworn in to replace deceased Senator [[Edward Kennedy]].<ref>(2010, February 5). "[http://www.washingtontimes.com/news/2010/feb/05/democrats-lose-supermajority-brown-sworn/ Democrats Lose Supermajority as Brown Sworn In]." ''Associated Press''.</ref>

====Locking Out Republicans, Literally====

====Locking Out Republicans, Literally====

The Congressional Budget Office in 2011 projected that repealing the bill would add $211 billion to the deficit, but this was contradicted in April 2012 by economist Charles Blahouse who said the bill adds $340 billion to the deficit.<ref>''Associated Press'' (2012, April 10). "[http://www.cbsnews.com/8301-250_162-57411669/study-obamas-health-care-law-will-add-at-least-$340-billion-to-deficit/?tag=cbsnewsLeadStoriesArea Study: Obama's health care law will add at least $340 billion to deficit]." Retrieved from ''CBS News''.</ref>

The Congressional Budget Office in 2011 projected that repealing the bill would add $211 billion to the deficit, but this was contradicted in April 2012 by economist Charles Blahouse who said the bill adds $340 billion to the deficit.<ref>''Associated Press'' (2012, April 10). "[http://www.cbsnews.com/8301-250_162-57411669/study-obamas-health-care-law-will-add-at-least-$340-billion-to-deficit/?tag=cbsnewsLeadStoriesArea Study: Obama's health care law will add at least $340 billion to deficit]." Retrieved from ''CBS News''.</ref>

== Basic Requirements ==

== Basic Requirements ==

Beginning in 2014, Americans will be required to buy government-approved, private health insurance or else pay a penalty.

Beginning in 2014, Americans are required to buy government-approved, private health insurance or else pay a penalty.

Health insurance companies will be required to spend on medical care at least 80% of the premium payments they receive from individual and small-group plans (and at least 85% from large group plans).  The federal government will define what constitutes medical care.

Health insurance companies will be required to spend on medical care at least 80% of the premium payments they receive from individual and small-group plans (and at least 85% from large group plans).  The federal government will define what constitutes medical care.

Prohibit bans on pre-existing health conditions in children, lifetime and annual limits on expenses, and limits coverage exclusions of pre-existing health conditions in adults.

Prohibit bans on pre-existing health conditions in children, lifetime and annual limits on expenses, and limits coverage exclusions of pre-existing health conditions in adults.

Requires family policies to include children up to age 26.

Requires family policies to include coverage of children up to age 26.

Does allow states to form compacts in order to allow the interstate sale of insurance.

Allows states to form compacts in order to allow the interstate sale of insurance.

Requires direct access to obstetrical and gynecological care, which might include [[abortion]].

Requires direct access to obstetrical and gynecological care, which might include [[abortion]].

Creates (by 2014) health insurance exchanges or marketplaces that will be state-based and state-administered, but states can opt out of this if certain conditions are met; insurance can be sold within the exchange only if government-approved, but insurance can be sold outside of the exchange.

Creates (starting in October 2013) health insurance exchanges or marketplaces that will be state-based and state-administered, but states can opt out of this if certain conditions are met; insurance can be sold within the exchange only if government-approved. If a state fails to set up its own exchange, residents of the state can purchase insurance on a federally-administered exchange. Insurance can be sold outside of the exchange, but only policies purchased on the exchange will be eligible for a premium tax credit.<ref name=pcredit/>

Prohibits health plans from discriminating against providers, but plans are not required to contract with any provider.

Prohibits health plans from discriminating against providers, but plans are not required to contract with any provider.

Requires health plans to develop politically correct language services, community outreach and cultural competency trainings.

Requires health plans to develop politically correct language services, community outreach and cultural competency trainings.

=== Employer Requirements ===

=== Employer Requirements ===

Health and Human Services Secretary [[Kathleen Sebelius]] appearing on Capitol Hill for questioning admitted to double-counting in the Obamacare budget.  Rep. Joe Pitts of Pennsylvania said “The same dollar can’t be used twice. This is the largest of the many budget gimmicks Democrats used to claim Obamacare would reduce the deficit.” <ref>[http://dailycaller.com/2011/03/04/hhs-secretary-sebelius-admits-to-double-counting-in-obamacare-budget/ HHS Secretary Sebelius admits to double-counting in Obamacare, The Daily Caller, March 4, 2011]</ref>

Health and Human Services Secretary [[Kathleen Sebelius]] appearing on Capitol Hill for questioning admitted to double-counting in the Obamacare budget.  Rep. Joe Pitts of Pennsylvania said “The same dollar can’t be used twice. This is the largest of the many budget gimmicks Democrats used to claim Obamacare would reduce the deficit.” <ref>[http://dailycaller.com/2011/03/04/hhs-secretary-sebelius-admits-to-double-counting-in-obamacare-budget/ HHS Secretary Sebelius admits to double-counting in Obamacare, The Daily Caller, March 4, 2011]</ref>

      

      

The ACA as passed assumed that the eligibility for [[Medicaid]] would be automatically expanded in all 50 states.  However, some states appealed this provision, and the US Supreme Court ruled that each state would have the right to decide whether to continue Medicaid on its present terms or to expand Medicaid to cover more low-income individuals.  Although the ACA provided for the federal government to pay for all costs of medicaid expansion during the first four years, there was no statutory guarantee for full federal funding after that time.  So, some states, particularly those with Republican Governors or Republican-controlled legislatures, refused to expand the eligibility requirements for the Medicaid program in their states.  However, hospitals faced financial pressures to limit or end free charity care for indigent patients under the new structure, leaving low-income people in a difficult, un-insured dilemma.

The ACA as passed assumed that the eligibility for [[Medicaid]] would be automatically expanded in all 50 states.  However, some states appealed this provision, and the US Supreme Court ruled that each state would have the right to decide whether to continue Medicaid on its present terms or to expand Medicaid to cover more low-income individuals.  Although the ACA provided for the federal government to pay for all costs of medicaid expansion during the first four years, there was no statutory guarantee for full federal funding after that time.  So, some states, particularly those with Republican Governors or Republican-controlled legislatures, refused to expand the eligibility requirements for the Medicaid program in their states.  However, hospitals faced financial pressures to limit or end free charity care for indigent patients under the new structure, leaving low-income people in a difficult, un-insured dilemma.

Individuals and families who earned enough money to not qualify for Medicaid, and were not covered by employer-provided insurance, were then required to purchase insurance through health care exchanges in order to receive federal subsidies of insurance premiums and deductibles.  However, there were massive problems with the online health care exchanges operated by the federal government for states that did not set up their own exchanges.  This was true at the start of the open season in October 2013 as well as toward the end of the open season in March 2014.  Despite these problems, 7.1 million people signed up for insurance on the exchanges.<ref>{{cite news|url=http://www.whitehouse.gov/blog/2014/04/01/more-7-million-americans-have-enrolled-private-health-coverage-under-affordable-care|title=7.1 Million Americans Have Enrolled in Private Health Coverage Under the Affordable Care Act|work=whitehouse.gov|date=April 1, 2014}}</ref>  This number does not indicate a growth in the number of people covered by private health insurance.  First, the 7.1 million includes people who became covered by Medicaid expansion.  Second, some of the people were already covered by a grandfathered health plan, but were forced to purchase on the exchange so as to receive premium and deductible subsidies.  Third, some states, like California, required insurance companies to cancel their existing insurance plans as a precondition of offering plans on the health care exchanges.

Individuals and families who earned enough money to not qualify for [[Medicaid]], and were not covered by employer-provided insurance, were then required to purchase insurance through health care exchanges in order to receive federal subsidies of insurance premiums and deductibles.  However, there were massive problems with the online health care exchanges operated by the federal government for states that did not set up their own exchanges.  This was true at the start of the open season in October 2013 as well as toward the end of the open season in March 2014.  Despite these problems, 7.1 million people signed up for insurance on the exchanges.<ref>{{cite news|url=http://www.whitehouse.gov/blog/2014/04/01/more-7-million-americans-have-enrolled-private-health-coverage-under-affordable-care|title=7.1 Million Americans Have Enrolled in Private Health Coverage Under the Affordable Care Act|work=whitehouse.gov|date=April 1, 2014}}</ref>  This number does not indicate a growth in the number of people covered by private health insurance.  First, the 7.1 million includes people who became covered by Medicaid expansion.  Second, some of the people were already covered by a grandfathered health plan, but were forced to purchase on the exchange so as to receive premium and deductible subsidies.  Third, some states, like California, required insurance companies to cancel their existing insurance plans as a precondition of offering plans on the health care exchanges.

Some people thought that they had purchased insurance through the exchange, but because of malfunctions in the back office of the exchange, the insurance providers did not receive any record of the insurance purchase.  The Obama Administration  launched a crash program to fix the federal exchange software and in January 2014 replaced the contractor responsible for building and operating the healthcare.gov website.<ref>{{cite news|url=http://www.washingtonpost.com/blogs/post-politics/wp/2014/01/10/obama-administration-to-replace-top-healthcare-gov-contractor/|title=Obama administration to replace top HealthCare.gov contractor|date=January 10, 2014|accessdate=April 3, 2014|work=Washington Post|author= Juliet Eilperin and Amy Goldstein}}</ref>

Some people thought that they had purchased insurance through the exchange, but because of malfunctions in the back office of the exchange, the insurance providers did not receive any record of the insurance purchase.  The Obama Administration  launched a crash program to fix the federal exchange software and in January 2014 replaced the contractor responsible for building and operating the healthcare.gov website.<ref>{{cite news|url=http://www.washingtonpost.com/blogs/post-politics/wp/2014/01/10/obama-administration-to-replace-top-healthcare-gov-contractor/|title=Obama administration to replace top HealthCare.gov contractor|date=January 10, 2014|accessdate=April 3, 2014|work=Washington Post|author= Juliet Eilperin and Amy Goldstein}}</ref>

== External links ==

== External links ==

*[http://housedocs.house.gov/energycommerce/ppacacon.pdf Full text of Obamacare, aka Affordable Healthcare Act]

*[http://housedocs.house.gov/energycommerce/ppacacon.pdf Full text of Obamacare, aka Affordable Healthcare Act]

*[http://www.healthcare.gov/news/brochures/info-for-small-businesses.pdf Official site info for small businesses; statement there will be penalties against employers]

*[http://www.healthcare.gov/news/brochures/info-for-small-businesses.pdf Official site info for small businesses; statement there will be penalties against employers]