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Ellen R. Shaffer

Ellen R. Shaffer

Posted: February 22, 2010 02:00 PM

White House Health Care Reform Proposal

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The White House health care reform bill, posted online at 10 a.m. today, is a modest policy proposal based on the senate bill. It frames a bold political gamble that the national summit the president is convening on Thursday will cut through the rabble-rousing rancor that has threatened to kill reform, by challenging the Republicans to consolidate and defend their own proposal in full view of the American public.

White House officials Dan Pfeiffer, Nancy Ann deParle, and Jason Furman gave an early view of the proposal described as the president's "opening bid" for debate at the health care summit on Thursday, Feb. 25. It is ready to go through a reconciliation process in the senate should Republicans choose to filibuster the bill.

Based on the Senate bill, it improves affordability provisions by offering greater support to low and middle income individuals and families for premiums and lowering liability for out of pocket expenses. (Premiums would be capped at 9.5% of adjusted gross income.) To pay for the improvements, it increases employer contributions from $750 to $2,000 a year per worker, cuts Medicare Advantage, and includes investment income in the Medicare tax.

It would cover 31 million of the 45 million uninsured.

The "special deal" for Nebraska's Medicaid program is eliminated, replaced by greater federal assistance to all states for the first four years of the program, from 2014 to 2018.

The excise tax on health plans begins on plans that cost $27,500 a year per family.

It adopts a proposal by Sens. Feinstein and Rockefeller to establish a national authority to control insurance premiums. But it also includes the Ssnate bill provision championed by Olympia Snowe to let insurance companies do business across state lines.

While the President supports a public option and included it in his original proposal, he did not add it on to this bill.

The senate provisions restricting coverage for abortions are unchanged.

 

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Popularity
09:57 AM on 02/23/2010
At this point, it becomes real easy for voters to choose who will be elected, come election time. If the candidate pledges full commitment to Single Payer, they get elected. If not, there is no vote for them.
05:45 AM on 02/23/2010
Kill this bill and start over.

The Presidents plan is a terrible plan it is 2700 pages, so far, of schemes and angles to enrich the heath care industry while exploiting consumers, employers, and the United States Treasury.

Passing the 2700 page bill with tweaking will not lower ever increasing costs nor will it cure the historic sins and unacceptab­le insurance practices of withholdin­g or denying care which have bankrupted and killed patients.

Only a public option which eliminates insurance companies and eliminates for profit private care providers can cure the conflict between profit motive and evidence based care decisions.

The ugly truth is denying care increases profits.

There is nothing in this bill worth saving; it is worse than no bill.

The best fix for health care reform will require two options which will give everyone the opportunit­y to choose either free public; (NHC) national health care, or to privately purchase and receive private care.
04:19 PM on 02/22/2010
I just "googled" Republican Heath Care proposals 2010 and found NOTHING TO counter the President'­s latest proposals. repeat, NOTHING!