New HELP Bill Covers 97 Percent Of Americans, Costs $600 Billion

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DAVID ESPO | 07/ 1/09 09:49 PM | AP

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WASHINGTON — Democrats on a key Senate Committee outlined a revised and far less costly health care plan Wednesday night that includes a government-run insurance option and an annual fee on employers who do not offer coverage to their workers.

The plan carries a 10-year price tag of slightly over $600 billion, and would lead toward an estimated 97 percent of all Americans having coverage, according to the Congressional Budget Office, Sens. Edward M. Kennedy and Chris Dodd said in a letter to other members of the Senate Health, Education, Labor and Pensions Committee. The AP obtained a copy.

By contrast, an earlier, incomplete proposal carried a price tag of roughly $1 trillion and would have left millions uninsured, CBO analysts said in mid-June.

The letter indicated the cost and coverage improvements resulted from two changes. The first calls for a government-run health insurance option to compete with private coverage plans, an option that has drawn intense opposition from Republicans.

"We must not settle for legislation that merely gestures at reform," the two Democrats wrote. "We must deliver on the promise of true change."

Additionally, the revised proposal calls for a $750 annual fee on employers for each full-time worker not offered coverage through their job. The fee would be set at $375 for part-time workers. Companies with fewer than 25 employees would be exempt. The fee was forecast to generate $52 billion over 10 years, money the government would use to help provide subsidies to those who cannot afford insurance.

The same provision is also estimated to greatly reduce the number of workers whose employers would drop coverage, thus addressing a major concern noted by CBO when it reviewed the earlier proposals.

Kennedy, D-Mass., and Dodd, D-Conn., circulated their letter a few days before lawmakers return from their July 4 vacation, with the Health Committee one of several panels expected to take action on health care legislation that President Barack Obama has placed atop his domestic agenda.

Kennedy, the committee chairman, was diagnosed with a brain tumor more than a year ago and has been absent from the Senate for weeks, although he and his aides have been heavily involved in the deliberations on a health care bill. Dodd, the next senior Democrat on the committee, has presided at committee sessions and taken an increasingly public role.

With its government option, the proposal is unlikely to gain any bipartisan support in the committee.

Separately, Democrats and Republicans on the Senate Finance Committee are at work trying to reach agreement on an alternative that calls for creation of nonprofit cooperatives to sell insurance in competition with private industry. Agreement has been elusive on that and other issues, and it is not clear whether a deal is possible before Democrats opt for a more partisan approach.

In their letter, Kennedy and Dodd said the Congressional Budget Office "has carefully reviewed our complete bill, and we are pleased to report that CBO has scored it at $611.4 billion over 10 years, with the new coverage provisions scored at $597 billion. ...The completed bill virtually eliminates the dropping of currently covered employees from employer-sponsored health plans.

"In addition, our bill, combined with the work being done by our colleagues in the Finance Committee, will dramatically reduce the number of uninsured _ fully 97 percent of Americans will have coverage, a major achievement."

Three committees in the House have been at work for weeks on a plan expected to come to a vote by the end of July.

WASHINGTON — Democrats on a key Senate Committee outlined a revised and far less costly health care plan Wednesday night that includes a government-run insurance option and an annual fee on empl...
WASHINGTON — Democrats on a key Senate Committee outlined a revised and far less costly health care plan Wednesday night that includes a government-run insurance option and an annual fee on empl...
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- rektruax I'm a Fan of rektruax 18 fans permalink
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What about the self employed and their families?

    Favorite    Flag as abusive Posted 07:49 AM on 07/02/2009
- superbowl3 I'm a Fan of superbowl3 6 fans permalink

600 billion. Is that all?

    Favorite    Flag as abusive Posted 07:46 AM on 07/02/2009
- PaxEterna I'm a Fan of PaxEterna 80 fans permalink

Who is the 3% left out?

It's a stupid plan if it does not cover EVERYONE.

Furthermore, "compete with private insurers" is fatuous.

This means that there will always be a better option for the rich.

In MA, they sold the public on a "plan for universal coverage." What this means is the poor are 'steered" 3rd tier doctors and hospitals. All the plans are run by the insurance industry.

Employers and individuals have had their premiums increased in order to pay for the supposed losses associated with subsidizing the citizenry. Blue Cross raised our premium (for a couple) to more than $1200 per month from just over $900, in one year. We had to drop it. By the way, my coverage (for a 60 year old healthy female) is twice what it is for a 32 year old.

If you make more than 52K/yr, you don't qualify for assistance. The cheapest state plan costs$785 for two. But you can't pick your doctor, or your hospital. It's totally bogus.

"Catastrophic" plans are not "authorized" and if you buy one you have to pay a fine on your taxes.

Now the state is running out of money so they are "slowing enrollment" aka denying coverage,.
just like the insurance cos.

It is Orwellian. And this is MA, where IQ levels are supposed to be respectable.

We need to get rid of middlemen.

SINGLE PAYER: the only way to make quality health care for all a reality.

    Favorite    Flag as abusive Posted 07:46 AM on 07/02/2009
- TrueSense I'm a Fan of TrueSense 12 fans permalink

While it is not many, even some other countries' national plans have holes of 1 - 2%. Usually it is not an issue because that is where government funds or umbrealla coverage for such people come into play.

    Favorite    Flag as abusive Posted 08:07 AM on 07/02/2009
- nylibgrrl I'm a Fan of nylibgrrl 21 fans permalink
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A single person in NY state with no children cannot get social services assistance (other than HEAP) if they make more than $7200 a year, yet qualify under Federal guidelines which set the income cut-off well above that. This is because NY only uses Federal funding for households with more than one person in them. Single-person assistance comes only from state and local taxes. The cheapest state insurance coverage they can buy is, I believe, around $180 a month premium (I'm not sure about deductibles and copays) which probably sounds cheap to you, but a person living on minimum wage can't afford it. I have encountered a number of people who are just falling through the cracks in the system this way. This needs to be fixed!

    Favorite    Flag as abusive Posted 08:10 AM on 07/02/2009
- Genep34 I'm a Fan of Genep34 56 fans permalink

Agreed

    Favorite    Flag as abusive Posted 08:18 AM on 07/02/2009
- cbates I'm a Fan of cbates 37 fans permalink
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A company can not prosper without healthy workers, a government can not exist and prosper without healthy citizens so who gains more when people are kept healthy and working? So what is the issue? We don't want to have policies that insure the long term viability our production processes or the government that protects the world's populations from themselves or each other? Ask any CEO what is the company's most valued asset and 10 times out of 10 they will say their workers (People) who they would like not to get hurt/ill so they can continue to produce.

The people who speak against providing health care to all should really be debated on air and hopefully they will be shown to be wrong and if not then we have a problem. The debate really needs to be carried to the No people in a face to face fashion. The benefits of detecting viruses and other ailments early rather than later will protect the majority of people. Currently we set to let the best advertisement company form public opinion on one of the most critical issues facing this administration which is not a wise thing to do in my estimation.

    Favorite    Flag as abusive Posted 07:32 AM on 07/02/2009
- nylibgrrl I'm a Fan of nylibgrrl 21 fans permalink
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You are absolutely correct. You would think that would be a point in the plan's favor for conservatives, but I guess not. I'm so tired of stubborn obtuseness, obstructionism and strict toeing of the outmoded party line.

    Favorite    Flag as abusive Posted 08:15 AM on 07/02/2009
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I’ am in the Single payer camp, I want my fellow Americans workers & Businesses to compete, and Health Care cost has to be taken out of the competition equation, level the competition. So a Strong Public Option is a must.

Next, my advice to myself; never, ever hire someone (vote) to run your Government, who hates Government, I would never hire someone to teach my children, who hated children, like; Reagan/Bush, Bush/Cheney, Pawlenty Conservative Republicans.

These haters have screwed up my Government, so out with haters. Last for all who say my Government can’t do anything right, since our creation, hundreds of thousands of American businesses have come and gone and MY GOVERNMENT IS STILL STANDING, in spite of the haters.

    Favorite    Flag as abusive Posted 07:26 AM on 07/02/2009
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Really bashing one side or the other is never a solution you have good and bad on both sides but to say the Presidents you mentioned Hate America is nuts. Sad you feel that way very negative way to look at politics its not us against you its all of us together. That statement is very racist in ideology beliefs of others. When did this country get so full of hate because of ones political viewpoints?

    Favorite    Flag as abusive Posted 07:47 AM on 07/02/2009
- Joriet I'm a Fan of Joriet 2 fans permalink

You missed the point. Haters of the government are from the conservative side. If conservatives hate the government, then why are they hired to work for the government when they are out to destroy the government. A single-payer public option is the only way.

    Favorite    Flag as abusive Posted 08:07 AM on 07/02/2009
- Peabodies I'm a Fan of Peabodies 25 fans permalink

I guess you never heard the famous Reagan line about the "8 most dangerous words in the English language -- I'm from the government, and I'm here to help", Lynnce.

    Favorite    Flag as abusive Posted 11:29 AM on 07/02/2009
- schatsie I'm a Fan of schatsie 90 fans permalink

But they were Christians and sinned and God has forgiven them.....

    Favorite    Flag as abusive Posted 08:28 AM on 07/02/2009
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Not supporting health care for fellow Americans is, well... Un-American.

    Favorite    Flag as abusive Posted 07:25 AM on 07/02/2009
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Now how tough was that?-

Include a public option, and the cost plummets. Have a single payer system, and cut that figure in half.

Insurance companies, to paraphrase that worm Graham, "need to go away". We can't afford corruption and greed like this anymore...

    Favorite    Flag as abusive Posted 07:24 AM on 07/02/2009

But we can afford the corruption and greed that individuals will inevitably have? There are multiple reports out that assess the medicaid/medicare fraud at 20+%. Why do people abuse the system? Because they're corrupt and/or greedy.

I agree that something needs to drastically change. However, playing the "corruption and greed" card is something that either side can play on the issue.

    Favorite    Flag as abusive Posted 08:22 AM on 07/02/2009
- Peabodies I'm a Fan of Peabodies 25 fans permalink

WonderingAloud -- you're talking about the "insurance" companies, right? They take 30% of all health care dollars for paper-pushing and denials of care. Medicare does not deny, streamlines paperwork (it has a single payor), and costs less than 3% in administrative costs. It already exists. Broadening its coverage to those under 65 can be easily done. You don't have to "start from scratch".

    Favorite    Flag as abusive Posted 11:36 AM on 07/02/2009
- sandals I'm a Fan of sandals 34 fans permalink

This bill is a step in the right direction, I think that we shouldn't get our hopes up to much.
Sen. Kennedy has been fighting this fight for health care for all for a long time so I am glad to see he is working on the bill.
The $750 yr for each employer to pay does it come with a tax credit for those businesses, which it probably already does.
I don't think there would be a Workers Comp if there was a public option, but that is a good question.
At this point I really don't give a damn if it has any Rethuglican votes, we have 60, to stop any filibusters, which means we only need 51 to pass the bill.

    Favorite    Flag as abusive Posted 07:20 AM on 07/02/2009
- JWheels I'm a Fan of JWheels 4 fans permalink

Worker's comp is not health coverage, it's designed to help maintain income lost due to inability to work as a result of injury or illness inflicted on the job. This issue does not address worker's comp.

    Favorite    Flag as abusive Posted 07:50 AM on 07/02/2009
- cbates I'm a Fan of cbates 37 fans permalink
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The biggest stumbling block is the insurance companies and the people they employ. The numbers of people employed by the insurance companies are small and the profits are very big. A large part of the profits are used to buy politicians. Sen. Lieberman is being bought as we speak and you could go down the line and find more depending on where the insurance companies are located. It would be different if the insurance companies created value. They bet you die and you bet that you don't die. What a racket? I can see insuring a business with the potential for production loss and I just don't see the morality or need in insuring people other than to gain a profit or win fall.

    Favorite    Flag as abusive Posted 07:15 AM on 07/02/2009
- blaising I'm a Fan of blaising 23 fans permalink
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Sounds like a plan...let's take it to the next level.

Next.

    Favorite    Flag as abusive Posted 07:13 AM on 07/02/2009
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I would like to see the fine print. Sad to say, but I don't trust any of these folks when this kind of money is being thrown around. Sounds good...BUT.....

    Favorite    Flag as abusive Posted 07:23 AM on 07/02/2009
- OneHeart I'm a Fan of OneHeart 5 fans permalink

The first step to health care is to regulate the lobbyists (all) and campaign financing. This is of course is a dream because politicians are too greedy. The culture is cancerous in that fashion and will never let go of blood money. Otherwise, health care and other important issues to move this country forward would be so much easier. Just remember, the ones that are crying foul the loudest are probably the ones that are getting the biggest share of lobbyist handouts.

    Favorite    Flag as abusive Posted 06:54 AM on 07/02/2009

What is lost in this discussion is the fact that the rich republicans just really don't like the idea that the less fortunate have it as good as they. Some blue dogs fit into that category as well. One way to fix this problem is to demand that these politicians have insurance if paid by our tax dollars no better than the average American. How better to serve the American people than to share our level of health care.
Health care should be socialized as is Education, the military, Fire and Rescue and many other institutions.

    Favorite    Flag as abusive Posted 06:25 AM on 07/02/2009
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Many of us are fighting for health care for all Americans and that of course would include - would especially include - the less fortunate among us so I disagree that it is lost in the discussion.
Also, providing insurance to all Americans isn't the answer. Providing access to health care is the answer.
We don't need insurance companies. They are a profiteering burden that stands between you and your doctor.

    Favorite    Flag as abusive Posted 06:53 AM on 07/02/2009
- nylibgrrl I'm a Fan of nylibgrrl 21 fans permalink
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What exactly is your definition of providing "access to health care", versus providing insurance? I think most of us "have access" in that we can walk into an emergency room or clinic, at least. Doesn't mean we can all pay for it, though. So again, I ask you to please define your your terms.

    Favorite    Flag as abusive Posted 08:20 AM on 07/02/2009
- ntmessage I'm a Fan of ntmessage 38 fans permalink

Progress. We need to continually look at cost (lower) and quality (increase) and know that Co-Ops are an out for the existing industry to extend its reach to further control the distribution of Health Care. Sorry, for using such "business" terms for Health Care, but at the end of the day we must look at it as such. Today the private sector controls the entire channel and manipulates it for their own good, a by-product of the no value rationing of middleman tyranny.

Secondly, just as the Japanese Auto Industry (specifically Honda and Toyota) in the 80's began to dominate the car market over the Domestics, Quality and Cost can both be affected positively and continually. Today as a whole, the Japanese car market cost is less than ours, yet over one full standard deviation better in quality.

How this translates to Health Care is easy and not mechanical. It means for less cost we get better outcomes for our health care dollars. No one will say that the Japanese make inferior cars in general. There is so much low hanging fruit of waste to attack in our own bloated system, it amazes that this bill costs the taxpayer a nickel.

Other larger countries with even more elderly pay half of what we pay for health care as a percentage of GDP. Our goal must be 7%-8% of GDP, cover everyone and provide better quality. Clearly attainable by those working in good faith for the American people.

    Favorite    Flag as abusive Posted 05:37 AM on 07/02/2009
- kjstjohn I'm a Fan of kjstjohn 256 fans permalink
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Fantastic post!

    Favorite    Flag as abusive Posted 06:17 AM on 07/02/2009
- JeffyBoy I'm a Fan of JeffyBoy 5 fans permalink
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You actually believe the numbers????Like thats the real cost.

Show me one Fed agency that runs as it should. And costs what the Gov said it would.

    Favorite    Flag as abusive Posted 06:31 AM on 07/02/2009
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During Republican administrations government agencies don't run at optimum level. After all, it is the Republican agenda that they want government to fail and do everything they can to make it happen.
We are still recovering from Reagan/Bush economics.
The notion that government can't run anything well is complete nonsense. When adults are in charge, they do quite well.

    Favorite    Flag as abusive Posted 07:00 AM on 07/02/2009
- Ged2012 I'm a Fan of Ged2012 12 fans permalink
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To the Republicans who think this is a total waste of money, I suggest they look into that Iraq War which cost a trillion dollars in just a little over 5 years.

    Favorite    Flag as abusive Posted 05:14 AM on 07/02/2009
- b93950 I'm a Fan of b93950 4 fans permalink
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Correct, ending the war would more then fund the cost.

    Favorite    Flag as abusive Posted 05:59 AM on 07/02/2009

The cost is already funded. The budget passed a few months ago already sets aside $630 billion for health care reform.

    Favorite    Flag as abusive Posted 07:30 AM on 07/02/2009
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Yesterday the people of Iraq had an independence day to me that is what it was all about. No country should have dictatorships in control. Wait til this Afghanstan war Obama's Viet Nam starts costing money worse than Iraq ever did? War is not nice and never popular but no attacks hit American shores while on the Bush watch. Well at least the Government officials realize trillions more spending on a half hatched health care plan is insanity and not feasable. If the plans they do institue fail and they will look at medicare and medicaid its over for them with thier homesteaded country club jobs and luxury benefits. WE need term limits on all House and Senate members that way the focus is truly on the people and not the next election. I totally agree something needs to be done with Health care cost and affordability but rushing it through is not an affordable option.

    Favorite    Flag as abusive Posted 07:31 AM on 07/02/2009
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This sounds like a great first step on the insurance side of things.

Now, let's see a move that will cut the underlying costs.

    Favorite    Flag as abusive Posted 05:03 AM on 07/02/2009
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