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Taxes, Medicare cuts and insurance provisions in reform bills spark worry

Published on August 10, 2009 at 9:12 PM · 2 Comments

Aspects of Congress proposals to overhaul the health care system are being scrutinized.

The Washington Post reports on seniors "remaining wary:" "Proposals to squeeze more than $500 billion out of the growth of Medicare over the next decade have fueled fears that his effort to expand coverage to millions of younger, uninsured Americans will damage elder care. … From the raw numbers, it appears seniors are the net losers under bills approved by three House committees last week. The legislation trims $563 billion out of Medicare's growth rate over the next 10 years while pumping in about $320 billion. … But three retiree groups and several independent policy analysts say most of the proposed savings affect providers, rather than beneficiaries, and have the potential to improve quality over the long term" (Connolly, 8/9).

Practical considerations to protect consumers are being lost in the debate, The Associated Press reports: "Experts say the bills before Congress include significant consumer protections that would end denial or cancellation of coverage for medical reasons, from high cholesterol to cancer. … If President Barack Obama's effort to remake the health care system implodes, chances are slim that such protections could be enacted on their own. What consumer groups call discrimination by insurance companies, the industry sees as self-defense against people who put off getting coverage until they're seriously ill" (Alonso-Zaldivar, 8/9).

The Wall Street Journal on taxing high-value insurance plans: "Besides potentially generating tens of billions of dollar, proponents argue the move could slow the steep rise in health spending. They say generous insurance plans can encourage people to spend more freely on medical care. … But the proposal being weighed by the Senate Finance Committee would tax health plans that cost much less, setting the bar perhaps as low as $25,000 a year for a family plan. … But if lawmakers don't allow the threshold to be adjusted annually to reflect annual price increases, the proposed tax would eventually hit a much larger number of people" (Fuhrmans, 8/10).

Employers hope a Senate proposal will include co-operatives instead of a public option for public health insurance will, Business Insurance reports. "Employers also hope the Finance Committee bill, unlike the House bill, will include an individual mandate and not an employer mandate" (Wojcik, 8/10).


http://www.kaiserhealthnews.orgThis article is republished with kind permission from our friends at The Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery of in-depth coverage of health policy developments, debates and discussions. The Daily Health Policy Report is published for Kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. Copyright 2009 Advisory Board Company and Kaiser Family Foundation. All rights reserved.

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Comments
  1. jacksmith jacksmith United States says:

    Throw The Healthcare Obstructionist Out!

    More than two thirds of the American people want a single payer health care system. And if they cant have a single payer system 76% of all Americans want a strong government-run public option on day one (85% of democrats, 71% of independents, and 60% republicans). Basically everyone.

    We have the 37th worst quality of healthcare in the developed world. And the most costly. Costing over twice as much as every other county. Conservative estimates are that over 120,000 of you dies each year in America from treatable illness that people in other developed countries don't die from. Rich, middle class, and poor a like. Insured and uninsured. Men, women, children, and babies. This is what being 37th in quality of healthcare means.

    I know that many of you are angry and frustrated that REPUBLICANS! In congress are dragging their feet and trying to block TRUE healthcare reform. What republicans want is just a taxpayer bailout of the DISGRACEFUL GREED DRIVEN PRIVATE FOR PROFIT health insurance industry, and the DISGRACEFUL GREED DRIVEN PRIVATE FOR PROFIT healthcare industry. A trillion dollar taxpayer funded private health insurance bailout is all you really get without a robust government-run public option available on day one. Co-OP's ARE NOT A SUBSTITUTE FOR A GOVERNMENT-RUN PUBLIC OPTION. They are a fraud being pushed by the GREED DRIVEN PRIVATE FOR PROFIT health insurance industry that is KILLING YOU!

    YOU CANT HAVE AN INSURANCE MANDATE WITHOUT A ROBUST PUBLIC OPTION. MANDATING PRIVATE FOR PROFIT HEALTH INSURANCE AS YOUR ONLY CHOICE WOULD BE A DISASTER. AND UNETHICAL, CORRUPT, AND MORALLY REPUGNANT. AND PROBABLY UNCONSTITUTIONAL AS WELL.

    These industries have been slaughtering you and your loved ones like cattle for decades for profit. Including members of congress and their families. These REPUBLICANS are FOOLS!

    Republicans and their traitorous allies have been trying to make it look like it's President Obama's fault for the delays, and foot dragging. But I think you all know better than that. President Obama inherited one of the worst government catastrophes in American history from these REPUBLICANS! And President Obama has done a brilliant job of turning things around, and working his heart out for all of us.

    But Republicans think you are just a bunch of stupid, idiot, cash cows with short memories. Just like they did under the Bush administration when they helped Bush and Cheney rape America and the rest of the World.

    But you don't have to put up with that. And this is what you can do. The Republicans below will be up for reelection on November 2, 2010. Just a little over 13 months from now. And many of you will be able to vote early. So pick some names and tell their voters that their representatives (by name) are obstructing TRUE healthcare reform. And are sellouts to the insurance and medical lobbyist.

    Ask them to contact their representatives and tell them that they are going to work to throw them out of office on November 2, 2010, if not before by impeachment, or recall elections. Doing this will give you something more to do to make things better in America. And it will make you feel better too.

    There are many resources on the internet that can help you find people to call and contact. For example, many social networking sites can be searched by state, city, or University. Be inventive and creative. I can think of many ways to do this. But be nice. These are your neighbors. And most will want to help.

    I know there are a few democrats that have been trying to obstruct TRUE healthcare reform too. But the main problem is the Bush Republicans. Removing them is the best thing tactically to do. On the other hand. If you can easily replace a democrat obstructionist with a supportive democrat, DO IT!

    You have been AMAZING!!! people. Don't loose heart. You knew it wasn't going to be easy saving the World. Smile

    God Bless You

    jacksmith — Working Class
        
    I REST MY CASE (krugman.blogs.nytimes.com/.../)

    Republican Senators up for re-election in 2010.

    * Richard Shelby of Alabama
    * Lisa Murkowski of Alaska
    * John McCain of Arizona
    * Mel Martinez of Florida
    * Johnny Isakson of Georgia
    * Mike Crapo of Idaho
    * Chuck Grassley of Iowa
    * Sam Brownback of Kansas
    * Jim Bunning of Kentucky
    * David Vitter of Louisiana
    * Kit Bond of Missouri
    * Judd Gregg of New Hampshire
    * Richard Burr of North Carolina
    * George Voinovich of Ohio
    * Tom Coburn of Oklahoma
    * Jim DeMint of South Carolina
    * John Thune of South Dakota
    * Kay Bailey Hutchison of Texas
    * Bob Bennett of Utah

  2. joan sampson joan sampson United States says:

    Why is this nation so divided over the Healthcare issue?

    If the statistics that are quoted reporting that 2/3 majority of Americans want a single payer healthcare system and/or "76% of all Americans want a strong government-run public option on day one (85% of democrats, 71% of independents, and 60% republicans). Basically everyone." are accurate, what is the noise all about?

    Aren't our members of Congress and Senate listening to these U.S. citizens?

    Let's ask President Obama, the Senate finance committee and the Congressional committees to help suspend the debates and public yelling bouts at town halls and deliver a good bill that will provide coverage for all U.S. citizens equally - one that includes you & me and the respectable leaders listed in this paragraph, with NO exceptions, NO exclusive clauses, NO  separate-yet-equal machinations. This will, of course be partly funded by revenues that are already earmarked for coverage for federal government employees.

    If we are to be told that this proposal is too simplistic,  let us all ask the legislators and the President to explain the complexity of such a concept and what needs to be done to honestly present all U. S. citizens with an all- inclusive healthcare bill that is clearly written so that everyone is on the same page. This is not a rhetorical suggestion - let's get our Democrat and Republican leaders' answers and maybe we can help them determine what it will take to get a bill that will provide equal coverage for all U.S. citizens.

    If any elected official has a problem with this, the solution is democratic.  We don't elect or re-elect an elected official (Democrat or Republican) who will vote special privileges for himself/herself that the people who he/she REPRESENTS don't enjoy. AND we don't allow "bull-speak' from that ilk force us all to retreat from this issue, more importantly.

    We are the United States of America, let's continue the fight to guarantee the equality our forefathers fought for and won.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News-Medical.Net.



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