I met Baby M a couple weeks ago. She was approximately 2 and a half months old, but she was actually born 6 weeks prematurely. So, she was still pretty tiny and just starting to grasp with her little fingers.
Baby M was born to two immigrant parents. Legal immigrants. One is working full time.
In the United States approximately 10% of newborns are born prematurely. The costs associated with a preemie are pretty high. On average about $ 49,000 – $65,000, sometimes much higher depending on the services needed.
Under the ACA (Obamacare) insurers are required to cover births and babies. They cannot disregard “pre-existing conditions”. Before the ACA a pregnancy could be considered a pre-existing condition. For example, if a man changed jobs while his wife was pregnant and had to buy a new health insurance policy, his wife’s pregnancy could be considered a “pre-existing” condition. The insurer could legally avoid paying for the pregancy and birth.
In the United States, before Obamacare, it was even possible for folks with good insurance to be stuck with big hospital bills. For example, in some hospitals the care for preemies is handled by a contracting service, not the hospital itself. So, while the health insurance company may cover the birth, it would not cover the special services needed by preemies. In some cases parents were on the hook for hundreds of thouslands of dollars. That was before the ACA.
The GP wants to repeal the ACA. Mr Trump wants to repeal Obamacare. If we repeal Obamacare we will repeal all the benefits.
Back to Baby M. Baby M was not born in the United States. She was born in Ireland. To two immigrant parents.
All of the expenses associated with Baby M’s birth and the special care in the hospital under the care of professionals were paid for by the Irish health care system. All of them. (Remember that $49,000- $65,000 estimate).
Baby M needed a medical professional to come to her home once a week for a few weeks. Typical for preeemies. All expenses were paid for by the Irish health care system.
Baby M will have all of her health care expenses paid for, by the Irish health care system, up to the age of 6, except for dental. (Did I mention that neither of Baby M’s parents, nor Baby M herself, is an Irish citizen?).
Until she is 18, Baby M’s parents will receive a monthly stipend from the Irish government to help pay expenses for this new human being. This will amount to about 120 euros each month ($142.00 US). I am not sure if everyone qualifies for this or it applies only to couples where one person stays home to raise the child.
Of course, this must be paid for. The Irish do pay high taxes, by US standards. Workers who are married pay 20% of the first 42,000 euros ($ 50,000) and higher income workers pay 40% of whatever they earn above that amount.
But, there is no income tax filing. The government just takes it all out of your pay each pay period. And there is no health insurance sign up for . No need to wade through dozens of different “plans” to try to figure out what you need. Or go online to find a deal. When you change jobs your insurance is not impacted. So, no paperwork or research.
The case of Baby M is strange in the US. The automatic benefits she receives would be strange in the US. The idea that she gets free health care without filling out insurance forms is strange. The fact that Baby M will get a stipend to help her parents care for her is strange.
The good news for Baby M? She was born in Ireland where they seem to put their money where their mouth is. Where they put into practice a thing called “family values”. You know, that thing the GOP is always referring to. While they vote to end the ACA.