Congress is still quarreling over health care services, even though the bill, Patient Protection and Affordable Care Act, was passed in March 2010.

Let’s review once again how health care reform will help schools.

Since 2010, Michelle Obama’s healthy eating and exercise campaign supports students. Such children have the stamina and perseverance to learn, a school reform goal to close the academic achievement gap for ‘at risk’ students.

It’s another fact that the entire school community–parents, school personnel with and without their own children, the next-door neighbors, city council members, and the governor– benefit from an improved health care system.

Until the arguments stop and care begins, what has happened?

At low-performing schools, the majority of students come from families where the parents work hard at low-paying jobs with minimal health coverage and high co-payments.  Or worse, the employer can’t afford to offer coverage. Parents are fearful of applying for Medicaid because of immigration complexities.

So, the student gets a cold, but he goes to school anyway because the parents can’t take time off to care for him.  He gives the cold to another student.  That child doesn’t go to the doctor because the parents can’t afford the co-pay.  Then the teacher gets the cold and uses sick days to recover.

Please don’t shrug and say ‘that’s life.’  The student can hardly hear or participate in lessons because his head is stuffed up.  The substitute does her best, but can’t teach the lesson as well as the regular teacher, who knows the students.  Days and days of learning are lost.

And that’s just a common cold.

In many low-performing schools, students go without glasses or hearing aids.  It’s easy to understand how those children have learning difficulties.

But what about teeth problems?  The parent doesn’t have coverage so nothing happens until the child comes to school with a swollen cheek and the part-time health aide makes an appointment with the county health clinic.  Then the parent must take off work for which she doesn’t get paid, and they sit for hours in the clinic waiting to see the dentist.  More school days missed.

Other obstacles stand in the path to good health. How many states with budget problems have cut back on community clinics?  In how many states is the public supporting health care and school reform, but unwilling to pay for it?

People say it costs too much.  I need the money.  I don’t have kids.  I’m as healthy as a horse, don’t even want insurance for myself much less those kids.

Suppose, then, the student’s father gets cancer.  The family’s bread winner can’t work, has huge medical bills, and loses his insurance.  The next-door neighbor, the city council member, and the governor end up paying higher premiums for their coverage as hospitals and medical groups shift the health care costs because of the father who can’t pay any longer.  Don’t forget the days the student can’t pay attention in class, worried over her father’s illness.  She stays home from school to care for her baby brother so the mother can go to the hospital.

What to do?

Once all the new health care legislation goes into effect, the school community should hope the dad with cancer gets health insurance with a medical/hospital group where the medical staff is paid for the quality of care they give, not for the number of services.  One sure way to lower health care costs for everyone.

The school community should hope the doctors will have all the dad’s records and send him quickly to the oncology department.  A traveling nurse will visit the family at home.  The children won’t miss school.

These sad stories weren’t made up to get sympathy.  These were actual situations at the school where I taught.

It’s why the entire country must get behind health care reform. Low-income families can get insurance and the regular guy won’t pay out for an unhealthy insurance model.

Finally, instead of coughs, ear infections, drowsiness, students will concentrate on becoming successful learners.