FixHealthCarePolicy

The Roadmap to Real Health Care Reform

During his State of the Union Address, President Obama declared that “there will be many different opinions and ideas about how to achieve reform, and that is why I’m bringing together businesses and workers, doctors and health care providers, Democrats and Republicans to begin work on this issue next week.” One public servant providing practical solutions is Rep. Paul Ryan (R-WI), who recently introduced his Roadmap for America’s Future Act of 2010. The Ryan bill outlines clear, sound principles to reform entitlement spending and health care. The Roadmap’s health care provisions would bend the cost curve in health spending, make insurance more affordable and accessible, and create a consumer-driven, highly-competitive system. This is how it is done:

1. Changing the Tax Treatment of Health Coverage
Current tax treatment of health insurance gives preference to employer-based coverage by making benefits tax free to the employee and the employer alike. Obviously, this tax policy only benefits those who receive coverage through their employer. It benefits those who also have the biggest benefit packages, usually, but not always, the wealthy. Ryan’s “Roadmap”replaces this inequitable system through creating a system of refundable tax credits of $2,300 for individuals and $5,700 for families for the purchase of health coverage. As Heritage experts have pointed out this will transform the market to respond to patients’ needs, allow portability of insurance between jobs, and further the goal of universal access. (more…)

Tags: health care reform, interstate commerce, Rep. Paul Ryan, roadmap, State of the Union address, tax treatment health insurance

Democrats’ Health Care Plans Come at High Cost to the Young

Extending health care to the uninsured and those who can’t get coverage for pre-existing conditions is the epicenter of Democrats’ health care bills, but achieving that goal requires adding younger, healthier Americans to insurance pools to hold down costs. And achieving coverage for sicker populations comes at a significant price to young Americans, according to a recent report by Rea Hederman and Paul Winfree of Heritage’s Center for Data Analysis.

Two provisions in the bills ensure that those with pre-existing conditions will be able to get coverage at an affordable cost. “Guaranteed issue” requires that insurance companies provide coverage to anyone, regardless of their medical history, and age rating would entail insurance companies charging older or sick customers no more than twice as much (three times as much in Senate bill) as they charge younger enrollees. This guarantees that premiums for the young will increase to subsidize the cost of covering the older and more sickly population. (more…)

Tags: health care costs, health care reform, insurance, ObamaCare, pre-existing condition, young Americans

Health Care Hoops Video: A Flagrant Foul Committed By the Public Option

How would private insurers fare when a government-run public option was playing against them? The non-partisan Center for Medicine in the Public Interest demonstrates that it wouldn’t be pretty. Watch:

Tags: free mark health reform, government-run health care, health care reform, Obama Health Care Plan, pelosi health bill, public option

U.S. House Votes in Favor of Obamacare

The health care bill passed by the House tonight took another step towards transferring power over personal health care decisions from individuals to bureaucrats in Washington. The Republican alternative was a good strong first step of targeted reforms that are necessary to improve health care financing and delivery.

If it were to become law, the House bill would put the government in control of over half of all health care spending and would dramatically shift America’s health care system from one that is largely private to one that is subordinated to government control.

The bill engineers a massive expansion of the Medicaid, a welfare program that provides substandard care to lower-income and poor Americans and threatens state budgets. The addition of the public plan, a new federal health care entitlement, would add to the crushing tax burden Americans already face from exiting entitlements. Even worse, millions of Americans would be pushed out of their existing health care coverage, notwithstanding the promises of the President. (more…)

Tags: alternative, congress, democrat, health care reform, hoyer, Medicaid, Medicare, Obama Health Care Plan, pelosi, republican, vote

Health Care Reform: The House Republican Alternative

House Minority Leader John Boehner and his House Republican colleagues have just unveiled a 230 page “Amendment in the Nature of a Substitute” to House Speaker Nancy Pelosi’s massive 2032 page health care bill (H.R. 3962). Voting on the substitute and the main bill in the U.S. House of Representatives could begin as early as Saturday, November 7, 2009.

In contrast to H.R. 3962, the Congressional Budget Office (CBO) finds that the Substitute would reduce average health insurance premiums ( by 7 to 10 percent in the small group market and 5 to 8 percent in the individual market) and would reduce the federal deficit by $68 billion over ten years. (more…)

Tags: H.R. 3962, health care reform, market reform, pelosi health bill, republican alternative

Behind Closed Doors: The Obamacare Arm Twisting Begins

The heat is happening behind closed doors as the U.S. House prepares for a Saturday showdown vote on health care. Access is everything. By keeping Members of Congress in Washington, D.C., this weekend, Democratic leaders keep them away from angry constituents back in their home states, where the Members normally would depart from Friday to Monday. (Note: The tactics aren’t different from what Republicans sometimes used when they held the majority.)

The first step is to keep Congress in town. The second is to keep them monitored and available for whenever leaders want to summons them for backroom meetings—sometimes to discuss and sometimes to pressure and browbeat and offer deals. A “buddy system” is sometimes assigned so a fellow Congressman from the party’s whip team keeps tab on each undecided member’s whereabouts, their cell and other private phone numbers, the places they tend to hangout between votes, and similar information.

Members don’t like to be found and pressured. As one speaker noted at Thursday’s “House Call” tea party event at the U.S. Capitol: “There may be some members hiding right now. They may be in the basement. They may be in the cafeteria, pretending they’re not a Congressman.” (more…)

Tags: arm-twisting, congress, health care reform, hoyer, Members of Congress, Obama Health Care Plan, ObamaCare, pelosi

What to Look For in the Latest House Health Care Bill

House Speaker Nancy Pelosi just unveiled a hulking 1,990 page House health care bill (H.R. 3962). The latest product, which dwarfs the 1,342 page Clinton Health Plan of 1993, is the latest evolution of the House process, which started with H.R. 3200. The House Speaker made a number of general comments, saying that the legislation would lower costs for American families, enhance the solvency of the Medicare program, and add 36 million Americans to the health insurance rolls.

On the crucial question of financing, the Speaker made a point of saying that the bill is fiscally responsible and comes in under the $900 billion target set by President Obama, and would not expand the deficit. Of course, the Congressional Budget Office has not yet issued a formal “score”- or estimate- of the final product. So, it is hard to determine how, or if, the legislation would bend the health care cost curve downward, as President Obama has promised as a key ingredient in health care reform. (more…)

Tags: Baucus bill, health care reform, HR 3200, Medicare Advantage, Nancy Pelosi, Obama Health Care Plan, pelosi health bill, public option