H.R. 3200

http://waysandmeans.house.gov/media/pdf/111/hrdr aft.pdf

If you listen to Rush or Hannity, and you heard about "Page 16 being the end of private healthcare" by outlawing private health insurance all together, that was wrong.

(ref: (1) LIMITATIONONNEWENROLLMENT.—
(A) INGENERAL.—Except as provided in
11 this paragraph, the individual health insurance
12 issuer offering such coverage does not enroll
13 any individual in such coverage if the first ef-
14 fective date of coverage is on or after the first
15 day of Y1.
16

This sounds like the end...

but..

If you read further:

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July 14, 2009 (12:51 p.m.)
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f:\VHLC\071409\071409.140.xml (444390|2)
19
(1) IN 1 GENERAL.—Individual health insurance
2 coverage that is not grandfathered health insurance
3 coverage under subsection (a) may only be offered
4 on or after the first day of Y1 as an Exchange-par5
ticipating health benefits plan.
6 (2) SEPARATE, EXCEPTED COVERAGE PER7
MITTED.—Excepted benefits (as defined in section
8 2791(c) of the Public Health Service Act) are not
9 included within the definition of health insurance
10 coverage. Nothing in paragraph (1) shall prevent the
11 offering, other than through the Health Insurance
12 Exchange, of excepted benefits so long as it is of13
fered and priced separately from health insurance
14 coverage.

So sounds good right? ..But what exactly is a "Exchange participating benefits plan"?

Basically, if you want to switch healthcare after year one of the bill coming into play, because of a new job or whatever reason you have, you lose your grandfathered health insurance. If you still want your private health insurance, it has to qualify for "Exchange participating benefits plan" you have to qualify for a slew of things, among them... Guaranteed Issue and Community Rating.

Guaranteed Issue:
'If a health insurance plan is described as "guaranteed issue," it means that applicants cannot be turned down for coverage based on their health status. Most job-based group health plans offer coverage on a guaranteed issue basis. Also, a handful of states require insurers to offer guaranteed issue individual policies.
It is important to remember that applicants for guaranteed issue plans can be turned down or have their coverage discontinued for other reasons, such as fraud or non-payment of premiums.'

Community Rating:

'A "Premium" is the price paid in advance for an insurance policy. With "Community Rating," everyone pays the same premium. An insurer using community rating to set insurance premiums ignores any differences in expected costs among insured groups or people. If an insurer uses community rating, but people know and use their expected costs to decide whether or not to buy insurance, then only the sickest people may wind up signing up for insurance.'

TRANSLATION:

While Guaranteed issue and Community Rating sound and look great at first glance, they are very bad for business.
Your Health Insurance that you love and "get to keep. period." is getting a makeover.

Expect higher premiums that eventually peak (due to increased government regulation) and kill your private health insurer.

How can there be competition if you're choosing between insurance your already paying for and one with a huge premium?