This is what will change with the healthcare reform (in short):
95% of all American citizens will have health insurance, instead of the 83% today. About 32 million Americans who don't have it now will have insurance in the future.
Most Americans will be obligated to have health insurance. Those who are able to afford it, but don't, can be fined (starting 2014).
No 'state healthcare system', like many left democrats wanted. From 2014, every state will have to have a sort of 'health insurance market' where people can compare and buy health insurance. People who don't make a lot of money will receive 'discounts'. Illegal immigrants however will not be able to buy health insurance through these 'markets'.
It should be less difficult for poorer people to get Medicaid. About 16 million more people should have Medicaid.
This seems like a very important change to me:
Insurance companies cannot refuse to help people anymore. They can't demand more money based on sex or physical condition. It will also be harder for insurance companies to end contracts when people become ill or handicapped.
Abortion will not be paid for by the state, unless the mother's life is in danger or the pregnancy is the result of incest or rape. (Although states can individually decide to pay for abortions through an additional insurance.)
That's about it.
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