President Obama made a lot of promises in his 2008 Presidential campaign, and many of them were around changes he wanted to see happen in America’s health care and insurance system. Unfortunately, many time politicians will talk the talk in order to get voters to punch their ticket a certain way on election day.

Walking the walk as far as campaign promises doesn’t always happen. Just look at the Bush administration…don’t even get me started. It is refreshing to hear Obama say that he is welcoming ideas on how to reform the health care proposal he created during his campaign, and I am all for a system in which many have a say in ideas to find a solution that works for everyone in the current state of the economy.

But the real question is, especially after hearing President Obama’s State of the Union address: What is the buzz around Obama’s statement of “come one, come all” for hearing opinions on health care, and will it work in creating a just and successful health care system for America?

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Editor’s Note: This is the second part of a two-part series on the controversy surrounding health insurance for same-sex marriage partners.  You can find part 1 here.

Let’s assume that the Defense of Marriage Act (DMA) eventually gets repealed. States that don’t support gay marriage aren’t allowed to deny that other states do? Would this then open up the forum for the Federal Government to acknowledge same-sex marriages? It seems that for Obama to agree with what this appeals court in California is bringing up, the Defense of Marriage Act would have to be repealed. We’re talking about health benefits for federal employees and their partners — and it seems that same-sex partners of federal employees won’t be seeing health benefits any time soon unless the DMA is axed.

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Note from the Author: Before I even begin addressing this interesting piece of news, I would like to add a disclaimer. I greatly respect that there are a variety of opinions and beliefs in this world, and I am sure that our reader base is about as diverse as diverse can get. I mean, everyone cares about health insurance right? I also respect that not everyone is going to agree with my opinion. I realize that the sensitive and largely disputed topic of same-sex marriage usually involves disturbing some sort of beehive. If you choose not to agree with what is to follow, then I encourage you to post your thoughts in the comments section.

Even if you aren’t a resident of the Golden State, you probably heard all of the controversy and buzz around California’s Prop 8 back in November of 2008. The proposition passed by voters denies the rights of same-sex couples to legally get married. For those of us who believe that marriage should be a right for all people, regardless of their sexual preference, this proposition’s passage was incredibly disappointing. Interestingly enough, however, a federal appeals court in California seems like it is trying to redeem the state’s liberal reputation.

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Oh Boston…a stunning city rich with history, and understandably mad about their Red Sox. After all, they just so recently overcame the Curse of the Bambino to win a World Series, and it’s no surprise that the city and the baseball cans are rabid for the team’s good fortune to continue. One hospital that provides health care in Boston, Beth Israel Deaconess Medical Center, loves the team so much that they are not going to give up their partnership being the Sox’s “official hospital” while facing massive budget cuts. What is the hospital having to cut to keep ties with the team intact, and how might this effect hospital employees?

A Hospital’s Swing and a Miss

Imagine you are a hardworking, dedicated employee of your local hospital. You work hard, provide patients with the best care imaginable, and one day you come in to work to find that you won’t be getting matching contributions to your 401k as you were promised upon your initial hire. Why? “Oh, we want to keep out relationship with the Boston Red Sox strong. Sorry.”

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As many Americans had hoped, President Obama is in office and the wheels appear to be in motion. The health care situation in the United States is just as grim as the rest of our economy, so it’s encouraging to see that the new administration is wasting no time rolling up their sleeves to let the health care reform work begin. However, before we get our hopes up that we are going to see some radical changes in the way health care is handled this year, some realistic expectations should be put in place. Rome wasn’t built in a day, and we shouldn’t expect new policymakers to miraculously turn around the somewhat dismal space our health care system has become. But what can we expect in 2009 from our government, and what might health care start to look like?

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Although the new administration seems to have gotten the ball rolling as far as changes to policies go, the future is still looking pretty bleak according to many analysts. The number of uninsured Americans right now stands at 45 million people in 2009. If there aren’t significant changes made in health insurance policies, that number will skyrocket to 54 million uninsured people by the year 2019. That would mean that over 17% of our entire population would be without health insurance. In this post, we’ll look at what people are calling for in terms of change, and what members of our government have to say to the President.

What Are the Problems with Current Health Policies?

The increase in the numbers of uninsured would be driven by the costly insurance premiums whose prices rise faster than incomes can keep up with them. If people simply can’t afford to keep paying health insurance premiums, they’re going to let them go and join the ranks of the uninsured. Many health treatments are deemed wasteful and unnecessary, and people pay well over what they should for these services.

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