Under the current health insurance system and until the new law takes effect in 2014, it is the most difficult to get insurance when you try to purchase it as an individual or family (as opposed to getting the coverage through your employer).   In the “individual market” people are routinely denied coverage for certain conditions or denied coverage altogether for a long list of preexisting conditions.

Why Do Companies Deny Health Insurance Coverage?

While this practice makes insurance companies appear heartless, the practice has historically existed to help keep insurance rates lower for other customers and to keep the insurance company solvent.  If a person with any physical aliment could buy insurance at any time, many might wait until they are very sick to buy insurance, generating large medical bills.  The way insurance works today, the customers’ premiums are pooled together to collectively cover everyone’s health care expenses.  This helps the insurance company spread the risk and ensure the solvency of the pool.

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The rising cost of family health insurance has dramatically outpaced that of family incomes, as you can see in this historical graph.

The President really has his work cut out for him lately selling health care reform; it is hard for the average American to get excited about the new law when those who buy their own coverage are facing a 20 percent increase in their health insurance premiums.  Those covered by their employers (in the “group market”) have seen their rates rise as well.  If we have finally started to fix this mess why is health care getting more expensive not less?

So Why are Health Insurance Costs Going Up?

The answer is simple and complex at the same time.  At the most basic level, health insurance premiums are going up because the cost of health care is rising.  And during this recession people who don’t need a lot of care (the “young and healthies”) are opting to forego coverage, making the current pool of insured in the individual market older and sicker on average.  A slightly more sinister explanation is that insurance companies may be playing off consumer fears of health care reform, and trying to make strong profits before several provisions in the new law actually take effect.

But sticking with the most basic explanation for a moment, why do health care costs continue to rise?  The answer to this question is less simple.  Many experts believe our health care system continues to provide care that is excessive, ineffective or even unneeded.

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Health insurance reform has helped making an "apples-to-apples" comparison between health plans much easier.

Anyone who has ever tried to buy health insurance as an individual knows it is just not as simple as purchasing other goods and services.  It is easy to compare a Delta flight to New York to a United flight to New York based on price, when both start and end at the same destination.  Both come with a seat, and these days — if you are lucky — probably a soft drink and maybe even some peanuts.

The trick in purchasing health coverage is that it is very difficult to make apples-to-apples comparisons between plans, especially just based on price.  The plan with a cheap monthly premium may actually have a much higher deductible—and end up being much more expensive in the long term.  Two plans may look very similar and be comparably priced; but one may cover maternity care, while the other does not. That can be tough, especially for the consumer who only learns this after she becomes pregnant.

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Health Reform was a big topic this year.  After all, President Barack Obama stood in front of congress more than once to encourage bipartisan support for the measures.  In the end, the country was deeply divided in their opinions about the bill’s veracity, but few can deny that Health Reform – as described in HR 3590 - will have far-reaching effects for millions of Americans (for better or worse).

This list of the 10 Most Costly Conditions was taken from our consumer guide to Health Reform in 2010.

Among the extensive coverage of health reform (Google shows an astounding 4,100,000 results for the phrase “health reform bill”) there is very little in the way of consumer guides.  MedHealthInsurance.com sought to remedy that shortfall by publishing a consumer guide to health reform in conjunction with the Insurance Research Organization.  We hope this guide will help you better understand your options under the new bill, its timeline, and how it will affect you – no matter which walk of life you hail from.

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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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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