July 27, 2010
Charleston Gazette
http://wvgazette.com/Opinion/OpEdCommentaries/201007270510
Today, our health-care system is more like a sick-care system. Chronic diseases such as heart disease, cancer and diabetes are responsible for seven of 10 deaths among Americans each year and account for 75 percent of the nation's health spending. But too many Americans fail to get the screenings and visits they need to help them prevent these conditions and stay healthy in the first place.
That's why the Obama administration has made it a top priority to ensure that more Americans get access to life-saving preventive care. From the historic investments in prevention in the Recovery Act, to the first lady's Let's Move Campaign to end childhood obesity, to the Affordable Care Act, the administration is laying the foundation for a health-care system that focuses on keeping every American healthy.
Last week, we took another step forward. As part of the Affordable Care Act, we announced that beginning this Sept. 23, all new private health insurance plans will have to cover a wide range of basic preventive services without charging a deductible, co-payment or co-insurance.
Eliminating cost-sharing for these services will help save lives. Even with insurance, out-of-pocket costs for screenings, visits, and vaccines can add up quickly. Now, Americans hit hard by the economic downturn won't have to think twice about whether they can afford a recommended mammogram or counseling with their doctor to help them quit smoking or lose weight.
Just last week, I had the privilege of meeting some of those Americans whose lives would have been forever changed if their insurance had not covered the preventive services they needed.
When Maggie's little boy John was born, she knew how important it was to take him to all of his well-child visits -- especially critical during the first year of life. At his 1-year visit, the pediatrician felt a mass in John's stomach.
Maggie's otherwise completely normal, happy and healthy baby had a stage 3 neuroblastoma that had spread throughout his midsection. There is no way that Maggie and her husband would have caught John's cancer in time without the routine well-child checkup her son was able to receive.
Twelve years later, John is healthy and in remission. But every year, Maggie and John return to the children's hospital for his checkups -- and Maggie says it is heartbreaking to see the children there who were not as lucky as John to have their cancer caught in time.
Under the Affordable Care Act, more Americans will have the same fighting chance to beat cancer or avoid the onset of chronic diseases -- improving their quality of life and reducing health-care costs.
The preventive services that must be covered by new health policies beginning on or after Sept. 23 include services for Americans at every stage of life, from counseling and screening to ensure healthy pregnancies, to regular well-child visits and immunizations, to blood pressure, diabetes, and cholesterol tests, as well as counseling on quitting smoking, losing weight, and eating better.
Studies show that cost-sharing for preventive services keep people from using them. When access to colonoscopies and mammograms cost hundreds of dollars, these important services can become out of reach for many working families or seniors on a limited income. That is why the Affordable Care Act will also make it easier for seniors on Medicare and Americans enrolled in Medicaid to access critical prevention services.
And we're not stopping there. The Affordable Care Act created the Prevention and Public Health Fund which is investing in community-based prevention initiatives and, this year, expanding the number of primary care professionals because you can't get a cancer screening if you can't find a doctor to administer it. A new Prevention, Health Promotion and Public Health Council, comprised of top officials from across the federal government, is creating a National Prevention and Health Promotion Strategy to help us become a healthier nation.
Together, our new investment in prevention is going to yield significant dividends for both the health and pocketbooks of Americans. Keeping people healthy, and catching diseases early, can help lower health-care costs. This will translate into savings for taxpayers -- and in reduced health insurance premiums over the long run.
But most importantly, preventive care can save lives -- like that of Maggie's son John. And those savings are priceless.