News

US Supreme Court to Make Historic Health-Care Decision

On Monday, the U.S. Supreme Court will take up a case that will have a lasting effect on American laws and virtually every American's access to health care.  For three days, the justices will hear arguments regarding the constitutionality of the Affordable Care Act - a medical insurance overhaul that the U.S. Congress passed two years ago.

Three families explain what's at stake for them.    

Just like he did four years ago, Miles Fawcett is there to catch his daughter when she needs him.  

Serena was born with a severe liver defect.  Her dad donated part of his liver to save his little girl's life. Now both have what's called a pre-exisiting condition.

Key aspects and programs of the Affordable Care Act:

  • Adult children can remain on their parent’s insurance coverage through the age of 26.
  • An end to lifetime limits on the dollar value of benefits available to people with serious medical conditions.
  • Preventive healthcare benefits including free coverage for mammograms and birth control.
  • Medicare beneficiaries get a 50% discount on covered brand name drugs and 14% savings on generic drugs.
  • Insurance companies must justify unreasonably large healthcare premium increases.
  • Business with more than 200 employees must enroll their employees in health insurance programs or pay a penalty.
  • Businesses with 50 to 200 employees who work 30 hours or more a week must offer insurance or money to workers who want to get insurance elsewhere.
  • Businesses with less than 50 employees are exempt from coverage provisions.

The Affordable Health Care law says no insurance company can deny coverage based on that.  Serena's mother, Mira, worries what might happen if the Supreme Court rules the law unconstitutional.

“It’s difficult for me to think about somebody who’s gone through something through no fault of their own, who’s had to go through so much, to have the bottom drop out like that," she said.

Steve Fleishman runs a bagel business and does not offer health care to every employee. He would see no change if he stays under 50 employees.  But, if he hires more, Fleishman would have to offer affordable coverage to his regular workers or pay a penalty.

He says - in this economy - there's not much profit left over when he wraps up the day, so, he'd have to raise prices and cut staff.

“I’d want to fall into the category of somewhere between 40 and 49 employees, so somewhere along the line we’d have to trim down and work a little harder to not be in that category so we wouldn’t have to pay for health benefits," said Fleishman.

Dianna Buckett is studying for an advanced degree in public health at Johns Hopkins University.  The new law allows her to remain under her parents' health insurance until age 26, even after graduation.

“There’s not a lot out there that’s a full-time position without prior job experience," said Buckett. "A lot of what I’m looking into is internships and, even if they are paid, the biggest thing is you don’t get benefits.”

"On every scale this is a monumental case," said attorney Tom Goldstein.

Goldstein has a stash of quill pens - one to mark each case he's argued before the Supreme Court. The real debate here is if Congress has the authority to mandate health insurance for all Americans.

"It involves the signature accomplishment of the president and it involves a question which affects the healthcare, which is absolutely basic to a hundred million people at least," he said.

With that in mind, the justices have scheduled six hours of arguments over three days.  That's the longest given any case since the 1960s.  And for good reason - analysts say their decision will be cited in American courts for the next 250 years.


Carolyn Presutti

Carolyn Presutti is an Emmy and Silver World Medal award winning television correspondent who works out of VOA’s Washington headquarters.   She has also won numerous Associated Press awards and a Clarion for her coverage of The Syrian Medical Crisis, Haiti, The Boston Marathon Bombing, Presidential Politics, The Southern Economy, and The 9/11 Bombing Anniversary.  In 2013, Carolyn aired exclusive stories on the Asiana plane crash and was named VOA’s chief reporter with Google Glass.

You can follow Carolyn on Twitter at CarolynVOA, on Google Plus and Facebook.
This forum has been closed.
Comments
     
There are no comments in this forum. Be first and add one

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Family of American Marine Calls for Release From Iranian Prisoni
X
Heather Murdock
July 01, 2015 8:59 PM
As the crowd of journalists covering the Iran talks swells, so too do the opportunities for media coverage.  Hoping to catch the attention of high-level diplomats, the family of American-Iranian marine Amir Hekmati is in Vienna, pleading for his release from an Iranian prison after nearly 4 years.  VOA’s Heather Murdock reports from Vienna.
Video

Video Family of American Marine Calls for Release From Iranian Prison

As the crowd of journalists covering the Iran talks swells, so too do the opportunities for media coverage.  Hoping to catch the attention of high-level diplomats, the family of American-Iranian marine Amir Hekmati is in Vienna, pleading for his release from an Iranian prison after nearly 4 years.  VOA’s Heather Murdock reports from Vienna.
Video

Video UK Holds Terror Drill as MPs Mull Tunisia Response

After pledging a tough response to last Friday’s terror attack in Tunisia, which came just days before the 10th anniversary of the bomb attacks on London’s transport network, British security services are shifting their focus to overseas counter-terror operations. VOA's Henry Ridgwell has more.
Video

Video Obama on Cuba: This is What Change Looks Like

President Barack Obama says the United States will soon reopen its embassy in Cuba for the first time since 1961, ending a half-century of isolation. VOA White House correspondent Luis Ramirez reports.
Video

Video Hate Groups Spread Influence Via Internet

Hate groups of various kinds are using the Internet for propaganda and recruitment, and a Jewish human rights organization that monitors these groups, the Simon Wiesenthal Center, says their influence is growing. The messages are different, but the calls to hatred or violence are similar. VOA's Mike O’Sullivan reports.
Video

Video US Silica Sand Mining Surge Worries Illinois Residents, Businesses

Increased domestic U.S. oil and gas production, thanks to advances known as “fracking,” has created a boom for other industries supporting that extraction. Demand for silica sand, used in fracking, could triple over the next five years. In the Midwest state of Illinois, people living near the mines are worried about how increased silica sand mining will affect their businesses and their health. VOA’s Kane Farabaugh has more in this first of a series of reports.
Video

Video Blind Somali Journalist Defies Odds in Mogadishu

Despite improving security in the last few years, Somalia remains one of the most dangerous countries to be a journalist – even more so for someone who cannot see. Abdulaziz Billow has the story of journalist Abdifatah Hassan Kalgacal, who has been reporting from the Somali capital for the last decade despite being blind.
Video

Video Texas Defies Same-Sex Marriage Ruling

Texas state officials have criticized the US Supreme Court decision giving same-sex couples the right to marry nationwide. The attorney general of Texas says last week's decision did not overrule constitutional "rights of religious liberty," and therefore officials performing wedding services can refuse to perform them for same-sex couples if it is against their religious beliefs. Zlatica Hoke reports on the controversy.
Video

Video Rabbi Hits Road to Heal Jewish-Muslim Relations in France

France is on high alert after last week's terrorist attack near the city Lyon, just six months after deadly Paris shootings. The attack have added new tensions to relations between French Jews and Muslims. France’s Jewish and Muslim communities also share a common heritage, though, and as far as one French rabbi is concerned, they are destined to be friends. From the Paris suburb of La Courneuve, Lisa Bryant reports about Rabbi Michel Serfaty and his friendship bus.
Video

Video Saudi Leaks Expose ‘Checkbook Diplomacy’ In Battle With Iran

Saudi Arabia’s willingness to wield its oil money on the global diplomatic stage appears to have been laid bare, after the website WikiLeaks published tens of thousands of leaked cables from Riyadh’s Ministry of Foreign Affairs. VOA's Henry Ridgwell reports.
Video

Video Nubians in Kenya Face Land Challenges

East Africa's ethnic Nubians have a rich cultural history that dates back thousands of years, but in Kenya they are facing hardships, including the loss of lands they have lived on for generations. They say the government has reneged on its pledge to award them title deeds for the plots. VOA's Lenny Ruvaga reports.
Video

Video Military Experts Question New Russian Tank Capabilities

Russia has been showing off its new tank design – the Armata T-14. Designers claim it is 20 years ahead of current Western designs - and driving it feels like playing a computer game. But military analysts question those assertions, and warn the cost could be too heavy a burden for Russia’s struggling economy. Henry Ridgwell reports.
Video

Video In Kenya, Police Said to Shoot First, Ask Questions Later

An organization that documents torture and extrajudicial killings says Kenyan police were responsible for 1,252 shooting deaths in five cities, including Nairobi, between 2009 and 2014, representing 67 percent of all gun deaths in the areas reviewed. Gabe Joselow has more from Nairobi.

VOA Blogs