Huffington Magazine Issue 10 | Page 85

HUFFINGTON 08.19.12 PROGNOSIS UNCLEAR That law, recently upheld by the Supreme Court, may shift non-emergency patients away from hospitals, but many health care professionals still have lingering questions. What’s really going to change when those millions of Americans are covered by health insurance, when access to regular medical care is improved and skyrocketing health care costs start to be reined in? Some worry that the health care reform law may not deliver on its promises, or that if it does, it will bring with it a new set of problems. These reforms will be gradually implemented leading up to 2014, when the biggest part of the law — the expansion of coverage to an estimated 30 million of the currently uninsured — is set to kick in. If we get it right, more people will have the security of health insurance, the nation can become healthier and spending will be restrained. If things don’t go according to plan, it could disrupt the $4.78 trillion health care economy by squeezing hospitals, health insurance companies and state governments. Waits for doctor visits could get even longer. Chances are, we will see both positive and negative outcomes. Some experts believe if the largest expansion of health care coverage since the creation of Medicare and Medicaid goes wrong, it could also handicap a vital component of America’s economic engine. “Health care in this country is approaching 20 percent of the economy and we have a tremendous amount of uncertainty about what 2014 is going to look like,” said John Lumpkin, chairman of the board of directors at the Robert Wood Johnson University Hospital in New Brunswick, N.J., at a briefing last month sponsored by the Alliance “Anybody who thinks that they can really predict exactly what’s going to happen is probably making things up.”