Dartmouth, Mass.. — Mike Manghan a thin, buffed the framework of an athlete. He works outside, sport, watches his diet and has never been a disease as serious, he landed in a hospital.
Until two months ago, the coach part-time staff and the bartender has never had health insurance. Manghan earns between $ 20000 and $ 30000 a year, he said, had no coverage because it could do it, it did not work enough hours for a single employer to qualify for employer-sponsored health care.
Manghan, 39, finally, health, Massachusetts, thanks to ‘revolutionary new program requires that all inhabitants of State at an altitude of health policy.
“I’ve been fortunate over the years that nothing ever happens, except sometimes for sports injuries - a sprained ankle or shoulder endolorie,” said Manghan, Fall River. “It was very much in my 20, but when I went into my business and 30 years, began to heal, assured that the party was back in my opinion, something that I thought.”
Last spring, while New England Sports Network, cable, Canal, the Red Sox in Boston, discovered on Manghan-Commonwealth Care is a plan that provides comprehensive coverage of the health of people without access to unemployment insurance , Deserve less than 300 percent of the federal poverty level - more than $ 31000 for someone like Manghan.
“My friend told me that I should therefore us,” said Manghan, as is steak tips geknabbert one afternoon last week at a restaurant near the gym where he trains clients. “I jumped on the site and have printed an application. I’ve met, and it was - it was really easy.
Manghan is one of nearly 200000 of Massachusetts “over 6.4 million people, were not insured and have opted for reporting under the ambitious plan of the state — the first time, each state has done to ensure 100% of its population.
It adapts the model the largest segment of the State failed to ensure residents - a man in his 20 or 30 years. This group is what Governor Patrick, in a speech recently at Brown University, called the “Young Masters of the Universe” - people are not sick and think they live forever. ”
To reach this group, Commonwealth-Care has been aggressive inhabitants State health insurance to new shares as part of a plan was so successful so far, while the State is concerned that it costs a lot of taxpayers, subsidize efforts at the New England economy is flat and the state is short of money. One projection shows the cost the state $ 157 million could be higher than expected.
In Rhode Island, Dir Lt Democrat Elizabeth Roberts brought together a group of experts in health and representatives of the economy, organised labour, hospitals, insurance companies and political figures to determine whether elements of the plan could succeed Massachusetts, Rhode Island, where more than 10 per cent of inhabitants are unversichert.
Under the plan approved last year, Massachusetts has decided to become familiar with the problem of access - First of all inhabitants, who are not insured as possible - particularly the management of difficult issues, such as control medical costs.
The state sets up a stick and carrot, the approach to force people to reassure them. Everyone is necessary for health insurance, many in the same way that all motorists should be insured will receive automatically. This refuse to cover the 31 December to a fine of $ 219 plus the loss of their personal exemption, when their taxes, government revenue. The penalties increase sharply over the next year.
Employers must provide coverage for their employees. Companies employ 11 or more and not offering insurance to a fine of $ 295 per employee, a figure rising to you that in years to come, say familiar with the program. So far, very few employers have decided not to cover workers and paying the fine. Companies must provide assurances that workers can finance dollars before taxes.
People, it can not afford insurance for a number of taxpayers, plans for grants, depending on their income. The very poor conditions of the state of Medicaid, the municipality of the Confederation and the Country Programme for health care for the poor. Seniors Massachusetts residents are under Medicare, as they are everywhere in the USA.
More than 60 percent of people in the state that their health care systems by the work of health insurance, like most Americans have been assured since the Second World War, that the employer began to its workers in health care as a means of rewarding employees for some time, controls during the laying of wage prescribed wage.