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Let’s assume that the Defense of Marriage Act (DMA) eventually gets repealed.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Obama to agree with what this appeals court in California is bringing up, the Defense of Marriage Act would have to be repealed.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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The language barrier for recent immigrants to the United States is taking a toll on how they receive access to and understand their health care options, according to a recent report by Kaiser. This further exemplifies the holes in the United States’ health care system, and raises huge concerns over those who are eligible and paying for health care yet are not receiving what they deserve. What is happening here and how can it be fixed?

Health care and immigration

I can only imagine how frustrating it is to be a newcomer to this country and want to get health care coverage, but not be able to find a single person to help you understand your options. For many who call the help lines for a plan like Medicaid, you may find that you can get instructions in Spanish, but what about the other hundreds of languages that immigrants speak? And what about other options for helping recent immigrants understand their health care options?

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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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One of the key components to making sure that there’s enough money and health care available for all of us living in the United States is plan, plan, plan. If experts were just to estimate what the population will be in a particular year (and much of it has to be some speculation) or if age and gender breakdown weren’t taken into consideration, health care providers would find themselves with a huge demographic portion needing care and with no money available to serve them with. Luckily for all of us, the National Health Care Expenditure Accounts Projections Team (NHCEAPT) is all over this type of things, and they have identified a trend that all of us, from young to old, should be aware of. Here is what we can expect to see through the year 2017 (doesn’t that year just sound so scifi?) and some suggestions on how we can be prepared for it.

Get Ready Medicare: Here Come the Baby Boomers

Baby boomers are little kids rocking out and bopping around to some music on the stereo. A “baby boomer,” a term created by the U.S. Census Bureau, is used to describe anyone born right after World War II, when everyone was so happy to see one another return home safely that all they did was sit around and make babies. The decade is usually considered between the years of 1945-1955. My parents? Proud baby boomers. And soon enough, people like my folks are going to be needing to access public programs like Medicare. According to the folks with the NHCEAPT, the outlook for national spending in the next eight years calls for steady growth. Spending growth is projected to be 6.7 percent in 2007, similar to its rate in 2006. Average annual growth over the projection period is expected to be 6.7 percent.

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Hospitals are meant to be safe havens, providing care and a place of recovery for the sick, injured and infirmed. Unfortunately, they have become places where many are robbed of their hard-earned money in hidden charges, fees for unnecessary treatments and lack of coverage from their health insurance plan. According to recent studies, hospitals are overcharging unsuspecting consumers a whopping $10 billion per year. Luckily, you are not doomed to a lifetime of high hospital charges. There are tips and tools at your disposal to make sure that you are only paying the fees that are necessary for you, and you can ensure that the money saved can go toward preventative care to help you stay out of the hospital in the future.

Request an Itemized Bill

You may get a bill at the end end of a surgery or extensive hospital stay for something like $25,000 dollars, and have no idea what you are being charged for. Before the bill even gets placed in your hands, request that the hospital make it into an itemized bill for you. One woman whose husband had just had hip replacement surgery saw charges for newborn blood work and a crib mobile. Unless her husband had had a baby while he was in the hospital, these charges were ridiculous and egregious. Hospital overcharges average about $1,300 per patient, per hospital visit, so requesting an itemized bill can help you avoid paying for things like $129 for a box of tissues.

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photo credit: Skelekitten

If you are like a good percentage of Americans, you are fortunate enough to have your health insurance provided to you through your employer. This means no having to shop around for the best policy, and enjoying not needing to stress over that process. Unfortunately, more and more Americans are having to turn to individual insurance policies, purchased from insurance companies who hold all the power in determining a patient’s health care future. This dangerous trend is not only detrimental to the health insurance industry but also to the well being of our citizens.

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