FixHealthCarePolicy

Health Coverage for All Americans? Not Under the Senate Health Bill

As Congressional leaders continue to search for ways to pass the Senate health bill in the House later this week, Americans continue to be subjected to dubious rhetoric surrounding the bill’s provisions. The Senate bill’s supporters claim that their legislation must be made law, no matter the cost, in order to achieve universal coverage in the United States. However, even if the Senate bill does pass, this will not be the case. Despite the fact that the proposed legislation is exorbitantly expensive, it would still fail to achieve universal health coverage.

According to the Congressional Budget Office (CBO), by 2019, the legislation would cost (PDF) $196 billion annually and still leave 24 million Americans uninsured.

The fact that 24 million people remain would uninsured with enactment of the Senate health bill is remarkable. Under current law, there would be 55 million uninsured Americans in 2019. That means that over 43 percent of the projected uninsured would be unaffected by the legislation, continuing to go without coverage ten years from now. Yet according to research by Heritage expert James Capretta, the bill would cost well over $1 trillion over the next ten years. Capretta shows that the true ten year cost of the plan is more likely to be close to $1.2 trillion, but even this estimate significantly underestimates the true long term cost of the plan. Capretta further points out that this estimate includes ten years of new revenues, but only 6 or 7 years of new spending, skewing the Congressional Budget Office’s ten-year cost analysis to make the bill appear less expensive than it really is. He says that a true ten year estimate would put the price tag closer to $2.3 trillion. (more…)

Tags: $1 trillion, Congressional Budget Office, Medicaid Expansion, Senate Health Bill

Medicaid Expansion Neglects Program’s Current Failures

This week, the House is preparing to vote on the Senate-passed health care bill, which depends on a massive expansion of Medicaid to reduce the number of uninsured.

However, as has become apparent in the months of debate surrounding Democrats’ health care proposals, all that glitters is not gold—especially in the case of expanding Medicaid, a low-quality, poorly-functioning federal-state program which fails to meet the needs of its beneficiaries. Increasing the number of citizens dependent on this program fails to address its numerous shortcomings, and instead applies them to millions more.

A recent article in the New York Times portrays the plights of current Medicaid beneficiaries which are slowly becoming the norm. Since Medicaid reimburses doctors significantly below the cost of providing care, more and more doctors are being forced to turn patients away. According to Dr. Saed J. Sahouri, “…we’re really losing money on seeing those patients, not even breaking even. We were starting to lose more and more money, month after month.” (more…)

Tags: access to providers, losing money, Medicaid, ObamaCare, senate health care bill

Slaughter Solution: Still the Senate Bill

The House Rules Committee will meet this afternoon to discuss what has been dubbed the “Slaughter Solution” to passage of the Senate health care bill. The precedent cited by Rules Chairman Louise Slaughter to justify the proposed maneuver (to “deem” passage of the Senate health care bill when in fact the bill has never been actually “passed”) simply does not support the planned manipulation of the House rules and may well violate the U.S. Constitution.

As early as 1933 House rules were interpreted to permit House acceptance of Senate Amendments in a bill simultaneously with House passage of a Resolution on a separate matter. But that precedent clearly included House concurrence in (or “passage” of) the Senate Amendments. The new maneuver planned for this week’s health care bill is not designed to be an up or down vote on Senate Amendments to a bill or a bill itself. Instead the proposed Rule will “deem”, or pretend, that a Senate bill that will never have been in fact “passed”, was instead “deemed” to have been passed. (more…)

Tags: Constitution, deem, house rules committee, senate health care bill, Slaughter solution

Obamacare Increases Unemployment, Insurance Premiums, Deficit, and Debt

President Barack Obama and congressional leaders claim that the Senate health bill, which will likely face a vote in the House by the end of the week, will decrease the deficit and bend the cost curve related to health care spending. However, recent analysis by The Heritage Foundation’s Center for Data Analysis (CDA) shows that this is far from true. Instead, the bill’s mandates and numerous new taxes will have tumultuous effects. Passing Obamacare will come at the expense of the American people as it would grow the federal debt, increase premiums, and stifle economic growth.

The Senate bill would have disastrous effects on the economy and federal spending. CDA shows that the bill:

– Increases the federal deficit and national debt. The Congressional Budget Office shows deficit neutrality for the Senate bill—however, this is based on static analysis which ignores the effects new taxes and an individual and employer mandate would have on economic growth. These provisions would decrease investment in the economy, resulting in lower wages and salaries. This means less taxable income, lowering federal revenues and growing the debt. Increased borrowing puts upward pressure on interest rates causing some private sector productive investment opportunities to be foregone. This also increases the interest owed on the national debt, such that the government would pay, on average, $20 billion more in interest between 2010 and 2020. By the end of the decade, CDA estimates the publicly held debt would be $755 billion dollars more than under current law. (more…)

Tags: deficit, jobs, mandates, national debt, premiums, senate health care bill, taxes, unemployment

Morning Bell: There Is No Bill But the Senate Bill

Another day, another poll showing President Barack Obama’s health care plan is wildly unpopular with the American people. Yesterday NBC News/The Wall Street Journal released their latest poll showing that the percentage of Americans who believe President Obama’s health care plan is a bad idea (48%) is at the highest level since they started asking the question last year. Only 36% of Americans are willing to call the plan a “good idea” which is up a whole four points from the time when House Rules Committee Chair Louise Slaughter (D-NY) wrote this about the Senate health plan:

“[U]nder the Senate plan, millions of Americans will be forced into private insurance company plans, which will be subsidized by taxpayers. That alternative will do almost nothing to reform health care but will be a windfall for insurance companies. … Supporters of the weak Senate bill say ‘just pass it — any bill is better than no bill.’”

“I strongly disagree — a conference report is unlikely to sufficiently bridge the gap between these two very different bills. It’s time that we draw the line on this weak bill and ask the Senate to go back to the drawing board. The American people deserve at least that.”

The Senate health bill is so unpopular, even among House Democrats, that the leftist House leadership is desperately trying to trick the American people into believing that the House can pass the Senate bill without voting on it. Hence the Slaughter Rule which would deem the Senate bill passed at the same time the House would approve a new reconciliation bill. Speaker Nancy Pelosi (D-CA) was crystal clear on her motives this week telling a group of leftist bloggers: “It’s more insider and process-oriented than most people want to know. But I like it because people don’t have to vote on the Senate bill.” (more…)

Tags: house rules committee, ObamaCare, public opinion, reconciliation, senate health care bill, Slaughter Rule

Questions of Privilege: A Possible Countermove?

According to the official site of the House Rules Committee, “questions of privilege” relate to “matters affecting the safety, dignity or integrity of the House, or the rights, reputation or conduct of a member acting as a representative.”

House leaders are poised to use a procedural tactic of questionable constitutionality to move the single most consequential piece of legislation in over seven decades through the House without a vote. Here’s the idea: (1) pass a rule to bring to the floor a “reconciliation” measure that would detoxify certain provisions in the Senate-passed health-reform bill, and (2) insert in the rule a sentence that “deems” the Senate bill to have passed the House.

As Stanford law professor and former federal appeals court judge Michael W. McConnell explained in the Wall Street Journal: (more…)

Tags: become law, Constitution, deems, house rules committee, ObamaCare, reconciliation, senate health care bill, Slaughter Rule

Obamacare Slaughter Rule is without Precedent

Yesterday, Speaker of the House Nancy Pelosi (D-CA) endorsed the rumored Slaughter Rule to send the Senate passed Obamacare bill to the President without a direct up-or-down vote in the House. Don’t believe those on the left who are trying to argue that because Republicans used deeming resolutions when they were in power, it is ok for Democrats to use a similar tactic to pass legislation without a vote.

Under this procedure, the House would vote on a rule setting up debate. The House would then skip a vote on the Senate passed version of Obamacare and move directly to a vote on reconciliation amendments to that Senate passed bill. If reconciliation passes, then the House will deem the Senate bill to have passed the House without a direct vote. As Michael McConnell wrote yesterday in the Wall Street Journal, this is yet another reason Obamacare would be unconstitutional.

Pelosi explained the need for this procedure yesterday: “I like it, because people don’t have to vote on the Senate bill.” Many Democrats could vote for the rule and claim that they are against the Senate bill.

A Wall Street Journal Op Ed today, points out that this procedure is unprecedented because never before has Congress passed a comprehensive reform bill using this tactic: (more…)

Tags: deeming, House Speaker Nancy Pelosi, ObamaCare, Senate Health Bill, skip actual vote, Slaughter Rule

Piecrust Promises: Part Two

Ever since the U.S. Senate voted in December to provide new funding for Federally Qualified Health Centers in its version of health care reform, analysts have pointed out that these monies are not covered by the Hyde Amendment, the measure dating from 1976 that sharply limits federal financing of abortion. As a consequence, these new funds appropriated by the Senate bill, which is now being moved through the House of Representatives by an extraordinary legislative device, are available without statutory limit to underwrite elective abortions.

Yesterday the Obama Administration issued a internal memorandum from the Department of Health and Human Services (HHS) attempting to undercut this conclusion. The memo states that even in the absence of the statutory prohibition contained in the Hyde Amendment, longstanding regulations in place at HHS would “prohibit federal funds from being used for abortion services.” (more…)

Tags: conscience regulations, federally qualified health centers, ObamaCare, Planned Parenthood, taxpayer-funded abortions

Morning Bell: Is Now Really the Time To Create a New $2.5 Trillion Entitlement?

In theory, the federal government has $2.5 trillion stashed away in a nondescript office building in the sleepy little town of Parkersburg, West Virginia. That is where the Treasury Department keeps stacks of nonnegotiable Treasury bonds payable to the Social Security Administration. But as the Associated Press reported yesterday, for the first time since the 1980s, the federal government will not be adding to that stack. Thanks to an aging population and slow economy, Social Security will pay out $29 billion more this year than it takes in. And the Congressional Budget Office reports that after small surpluses in 2014 and 2015, the program is projected to be in the red from 2016 until forever.

But what about Al Gore’s Social Security “Lock Box?” Can’t we just spend that $2.5 trillion in the Social Security Trust Fund? As Heritage experts David John and Brian Reidl explain, since 1939 federal law has required Social Security to “invest” its extra money in Treasury bonds. Those bonds are really just IOUs from the government to the government. The feds already spent that $2.5 trillion long ago on programs such as education, foreign aid and defense. Add the $2.5 trillion Social Security obligation onto our other obligations and our current national debt stands at $12.5 trillion, or nearly $42,000 for every man, woman, and child in the country. And it will only get worse under President Barack Obama’s Budget. It would: 1) borrow 42 cents for each dollar spent in 2010; 2) leave permanent annual deficits that top $1 trillion as late as 2020; and 3) dump an additional $74,000 per household of debt into the laps of our children and grandchildren. (more…)

Tags: AAA ratings, Centers for Medicare and Medicaid Services, deficit, health care entitlement, President's proposal

Karl Rove: Repealing Obamacare Will Be Easier If Congress Skirts Normal Process

“Deeming” and “reconciliation” are hardly household words, but for the next week Americans will come to know them as key procedural maneuvers that could push Obamacare across the finish line. But while they might deliver a bill to President Obama’s desk, they will also make it easier to repeal the measure, says former White House deputy chief of staff Karl Rove.

On the road for his “Courage and Consequence” book tour, Rove chatted with The Heritage Foundation about Obamacare, his defense of President George W. Bush’s conservatism, the growth of Tea Parties and anger toward government spending.

Listen to the full 30-minute interview.

Rove, who joined Heritage for the launch of our San Francisco Community Committee last September, recalled how even in the heart of Speaker Nancy Pelosi’s (D-CA) district, conservatives were teeming with energy and enthusiasm. Rove will appear at a Heritage Foundation community committee event in Naples, FL, next week.
(more…)

Tags: deeming, Karl Rove, Medicare drug benefit, ObamaCare, reconciliation, repeal, senate health care bill, tea party