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The health care reform signed into legislation by the Obama Administration took effect on September 23rd, 2010. Children in Texas will be significantly impacted by this change as many of the top insurance carriers in Texas will be doing away with child-only policies in the wake of this reform. What does Health Reform State? The Health Reform legislation will now require all insurance providers to carry children with pre-existing conditions. In the past, many children were denied coverage if they were found to have a pre-existing condition, but thanks to the new law, insurance providers cannot deny them. However, these companies have decided that in order to prevent themselves from having to carry children with pre-existing conditions, it would be better to do away with all child-only policies. "Child Only" policies are policies that just cover children under the age of 19. Who is Doing Away with Insurance for Children? In Texas, the biggest insurers are Blue Cross Blue Shield, United Healthcare, Aetna, and Cigna. Blue Cross dominates 44 percent of the Texas market and United Healthcare dominates a quarter. United Healthcare, Aetna, and Cigna have all stated that they will be doing away with child-only policies, which means that they will keep the current policies until they are up for renewal, but will not renew. Their argument for this change is that they are trying to "keep family coverage affordable for as many people as possible and avoid significant price hikes" and that "under the new law, people suddenly seeking coverage would predominately be those who need to consume health care services immediately for known, high cost conditions." There are currently 263,800 Texas children under the age of 19 covered by these policies. What is the Impact? There is no evidence to support that these large insurance companies will suffer as a result of this element of health care reform. In fact, according to the September 13th edition of the Houston Chronicle, Texas Representative Garnet Colemen of Houston was quoted as saying that the actual number of children who have pre-existing conditions and are seeking coverage is small. According to the Kaiser Foundation, 43.4% of Texas children are covered on their parents' employer insurance, 30.7 percent of children are covered through Medicaid, 5.8 percent are covered through individual or other public plans, and 20.1percent are uninsured. It seems that these companies are worried about the number of children with pre-existing conditions who fall into that 20.1percent of uninsured Texans. The slogan for United Healthcare is "Helping people live healthier lives" and Aetna's website states that they are "committed to compliance with the new legislation, and we are fulfilling our obligation to implement new benefit and health plan requirements." How exactly is United Healthcare helping people live healthier lives when they are dropping children from policies? How is Aetna fulfilling their obligation by coming up with a new way of denying children in need of health coverage? These insurance giants have decided that their bottom line is more important than the health of their subscribers and their subscribers' children. They claim that they are trying to prevent a spike in premiums by not allowing certain children coverage, but is that really the case? According to Pauline Rosenau, who is a professor of Management, Policy, and Community Health at the University of Texas School of Public Health, the "middle class will feel the greatest impact from the change and likely have to forgo coverage of their children if their employer-based family plans cut coverage of dependents." If children cannot receive health insurance, parents will be more reliant on emergency care and public funding to take care of their children, which will pass along the burden to the rest of Texas citizens. We need to allow all people access to health insurance, so we don't see price increases in emergency room visits and our own premiums. These insurance giants have always care more about their bottom line than their customers, and I we need to continue to support legislation to prevent them from making our healthcare decisions for us. Ackerman, T. (2010, September 13). As new law kicks in, thousands of Texas children may be left out. Houston Chronicle , pp. A1, A4. www.uhc.com www.aetna.com |
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