In his February 26, 2012, Health Stew blog on Boston.com, HSPH’s John McDonough, professor of the practice of public health and director of the Center for Public Health Leadership, writes that he is encouraged by recent comments from Aetna CEO and President Mark Bertolini that the end of health insurance companies doing business as usual is at hand. Bertolini said that much-needed changes are under way in the industry, and that health care reform will not stop even if the Supreme Court strikes down aspects of the Affordable Care Act (ACA).

By ending medical underwriting, the process by which insurers cover individuals based on their perceived medical risk, and also banning exclusions for pre-existing conditions, the ACA will “mean the end of individual insurance as it has been known in most parts of the U.S.,” McDonough wrote. But in states where these changes already have occurred, including Massachusetts, insurance companies have survived and are doing fine, he added.

McDonough also wrote about the ACA in two other recent posts on his Boston.com blog. On February 21, he shared stories published in the Denver Post about Americans whose lives have improved because of ACA provisions that already have been implemented, including the mother of a boy born with severe hemophilia. Lifetime caps on the child’s insurance coverage had placed his family in dire financial straits. Now that the ACA has banned caps, the family will no longer have to worry about losing coverage for his treatment.

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