One of the primary concerns that came out of every reform introduced by the White House is that the wealthy come out on the short end. For some reason, new bills always seem to depend on the wealthy to pay more and do more. For affluent people, this is a serious issue in that not everyone was born with a silver spoon in the mouth. Some rich people started out poor and worked long, hard years to build an empire so they feel they are being unfairly affected.



According to the new bill, the majority of people in the United States will be required to carry health insurance. If insurance is not purchased, people could face being fined at tax time. Well as you can imagine, being forced to buy insurance for health care has stirred the pot and left most people confused.



For instance, look at pretax income. Since the latter part of the 1970s, the wealthy have been hit hard by paying high pretax rates but if you were to look at the tax rates, these have declined more than rates associated with middle-income and poor families. In Obama's own words, the new health care bill would "mark a new season in America" but for whom.



One change that has millions of people on Medicare concerned is that to pay for this health care reform, not only are the rich being overly taxed, but also payments to insurers that offer private plans will be reduced. Known as "Medicare Advantage", this means that doctors and hospitals will start to reduce or stop altogether care to people that depend on Medicare for treatment of health issues or injury.




One way in which the health care changes for the uninsured will work is that Medicaid programs will be expanded. Changes to this governmental program will now include families that make under $29,000 and individuals making less than $14,400 annually, which is an increase over prior requirements. However, the health care changes for the uninsured will involve far more changes, again some good, some bad, and some questionable.



However, with the new health care reform, changes to Medicare would eliminate the over payments. This means the country would save some $132 billion over the next 10 years but it also means that people on Medicare Advantage would begin to see costs increasing and extras being eliminated by as early as 2011. In addition, it is expected by 2011 to see premiums increase. Overall, the new health care reform will cut $400 billion in reimbursements, primarily to hospitals.



One of the health care changes for the uninsured that everyone is having trouble with is the fines. If a person refused to purchase health insurance, an annual penalty of $95 would be due in the year 2014. However, probably one of the best changes that came out of President Obama's new bill is that people with pre-existing conditions cannot be denied coverage. All of these new health care regulations will go into effect starting 2014 for adults but for children, they start six months to the day that the new Health care Reform Coverage was signed.