An example
A reader writes in:
I do not understand how this bill will affect my family and me. I am a self-employed single mother. I cannot afford health care for myself and my children. I made $38,000 last year and I expect to make less than $35,000 this year. What does this health care reform mean for me? Will I be able to get coverage for my children and myself in this first year?
Not in the first year, necessarily. But when the bill goes into effect in 2014, your situation will change dramatically. Using the Kaiser Family Foundation's premium calculator and a slightly stylized version of your situation (the calculator is not terribly flexible), here's what I can say:
First, you'll be buying insurance on the exchanges. That means no discrimination based on preexisting conditions, insurers who are being watched and regulated, lots of choices, and the buying power that comes from being part of a large risk pool rather than being on your own.
More specifically, your income would make you eligible for substantial subsidies. About $11,571 worth, to be precise (this is keyed to a family of four, I should say). The cap on your premium payments as a percentage of your income would be 4.4 percent. You'd be paying about $1,540 a year.
By Ezra Klein | March 22, 2010; 11:58 AM ET
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