Even the unions are against “reforming” health care! September 28, 2009
Posted by vsap in Blogroll, Financial Crisis, US Politics, Uncategorized.Tags: health care reform
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Two things: Let’s look at shrinking support for any health care reform plan and how local unions in Milwaukee are recoiling against it.
From Kent Hoover at Buffalo Business First, published September 25 (bold is mine):
“The patient is still in the operating room, and the prognosis is not good.
That’s where health care reform lies today, according to many business groups that hoped for a better outcome. Their view is shared by most Americans: 54 percent of U.S. adults don’t think Congress will pass health care reform this year, according to a survey conducted this month by the Deloitte Center for Health Solutions.
This is a dramatic turnaround from earlier this year, when most experts inside the Beltway thought health care reform was inevitable, and the concept had overwhelming support among the general public.
Many lobbyists for small businesses and other employers blame Congress for overreaching. It should have focused on insurance market reforms aimed at lowering premiums and ending the ability of insurers to deny or price coverage because of health status.
Instead, Congress embarked on a complete overhaul of the health care system that would give the federal government too much power and cost hundreds of billions dollars more than was necessary, they contend.
“That’s why this whole thing is blowing up,” said James Gelfand, senior manager of health policy for the
U.S. Chamber of Commerce. “They have to start over.”
“We’re kind of disappointed that Congress has wasted so much time with overblown bills that had no hope of enactment,” said Neil Trautwein, senior vice president and employee benefits counsel for the
National Retail Federation.
“I think Congress blew it, basically,” said Karen Kerrigan, president/CEO of the Small Business and Entrepreneurship Council.
Political pressures may drive Congress to pass some modest reforms just to get something to President Barack Obama’s desk, but it’s not clear whether those reforms actually would reduce the cost of health insurance for employers, Kerrigan said.”
Then there’s this from Corinne Hess at the Business Journal of Milwaukee demonstrating how “health care reform” gets down to the local level and unions don’t like it:
“When the U.S. Senate Finance Committee gave the nation a glimpse at what health care reform could look like with the release of a proposed $856 billion, 10-year bill, it alienated a key segment of reform supporters: labor unions.
The bill would call for paying for reform in part by a tax on so-called “luxury” health insurance plans exceeding $21,000 for a family and $8,000 for individuals.
The average cost of a family health insurance plan in Wisconsin is $13,800. Unions, however, typically have richer benefits exceeding the cap set in the Finance Committee bill.
“Unions have been the backbone of the health reform movement,” said Robert Kraig, program director for Citizen Action of Wisconsin, an 89,000-member coalition from across the state. “They have said all along that everyone should have access to the quality, affordable care that they are fortunate to have. To turn around and tax them is a disservice.”
The Senate Finance Committee began debating the draft health care bill Sept. 22. Finance Committee chairman Max Baucus, D-Montana, released the bill Sept. 16, and almost immediately amended portions of it after criticism from his fellow Democrats that the measure didn’t do enough to assist moderate-income Americans.
Baucus still wants to impose a tax on high-cost health plans starting in 2013, but has increased the thresholds for plans covering retirees over the age of 55 and those covering people in certain high-risk occupations like law enforcement and construction.
The increase for such plans would be raised by $750 for individual coverage and $2,000 for family coverage.
The amendment does little to help other unions, such as the
Milwaukee Teachers’ Education Association (MTEA).
The 5,600 members of the union are offered health insurance worth $24,000 per year for family coverage and $10,800 for individual coverage. About 60 percent of members have family plans.
If those plans were taxed, younger, healthier teachers would likely not accept the district insurance and seek less expensive coverage, driving up rates even faster for the people remaining in the plan, said Joan Heithoff, assistant executive director of MTEA.
Teachers have long accepted pay raises well below the consumer price index in exchange for good benefits and should not be penalized now because of it, Heithoff said.
“Our benefits are pretty much in line with surrounding school districts,” she said. “We have to offer this in order to attract quality teachers and remain competitive.”
The luxury health plans targeted in the Senate Finance bill are the type of health insurance plans people in every other industrialized country have and what most Americans enjoyed before health care costs skyrocketed, said David Newby, president of the
Wisconsin State AFL-CIO, a federation of more than 1,000 local unions.
“The whole notion of taxing health insurance points out once again the problem of thinking in terms of reforming health insurance rather than the entire health care system,” Newby said.”
Continue to fight against anything other than health insurance reform focused on reducing premiums and keeping insurers from denying coverage due to pre-existing conditions.
No public health option is worth its price September 11, 2009
Posted by vsap in Blogroll, US Politics, Uncategorized.Tags: President Obama, public health care
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The 21st Century has been a rough one for me and health care coverage. For the past three years, everything has been good. No more than the typical squabbles with insurance company customer service reps unable or unwilling to help, but all is resolved as of this moment.
Since 2000, however, I have been without health insurance a total of 2 years, exactly 24 months. I was unemployed for only 6 of those months, the rest, I didn’t have employer-provided health care (they couldn’t afford it) and, since I couldn’t afford it (taking a 20% cut in pay to get any job in the wake of 9/11), I did without. More correctly, me and my family did without.
That being the facts, you could believe I would come out swinging for a government-operated plan. You would believe wrong.
While I believe that government can and should do some things well (e.g., national defense, unemployment benefits, and some measure of social security), I do not believe this extends to “public” health care.
Case in point: my mother. Regrettably, my father wasn’t a saver so when he passed my mother didn’t have much to go on. When she could no longer care for herself at home, and neither I nor my sister had the means to buy private health care in a nursing home, she was thrown into “the public pool”. It took her less than three years to die from a combination of benign neglect and poor hygiene in a place that had a hard time caring for its paying customers much less those on the public roll. You could argue she would have died regardless of care. You may be right, but I don’t believe it.
This, and other encounters with public medicine in its present form, gives me genuine, heartfelt concern about our government’s ability to make health care better on any level.
Unfortunately, the president has decided to be “the last president” to handle this issue without any details of how he’d like to see this happen. He’s good at the rhetoric, hyperbole and pandering to his Democrat colleagues, and poor at giving answers and direction on he says is the primary issue of his presidency.
My belief is there are other paths to fixing (or beginning to fix) what is truly wrong with our health care system. The president has addressed a couple of minor points but nothing substantial.
So, what does a conservative plan look like? Here’s one from US Senator Michael Enzi (R-WY), stated on June 9, 2009:
“First, it would expand health insurance coverage so that every American has access to affordable, high-quality health insurance. Most Republicans and Democrats can agree on basic reforms that will help lower the costs of health insurance and allow patients with pre-existing conditions to be able to buy insurance. There is much data and testimony that tells us that greater affordability and increased access are not mutually exclusive. More than that, the more we learn about the costs driving up our system, the more we recognize that if done correctly, greater access can drive down costs.
Second, the bill would use private plans to deliver the benefit. I believe that most Republicans and Democrats can agree that a patient-focused health care system will provide the highest quality and lowest cost when patients are able to choose among competing private plans. When patients can vote with their feet, insurance companies will be forced to deliver better quality care.
We have heard much debate about a public plan option, and we have heard Democrats recently begin to back away from a government-run plan. I believe that many of my colleagues are beginning to see that increasing the size and scope of government’s role in health care and further squeezing a private marketplace will drive up costs and drive down quality every single time. As the public, the editorial boards, and reasonable people on both sides of the aisle continue to delve deeper into the practicality of a public option, I believe it will continue to recede further into the background.
Third, many Democrats and Republicans can agree to basic reforms that would foster an atmosphere of competition by demanding that insurers compete on price and value rather than providing the ability to pick lower-cost, lower-risk patients.
Fourth, a bipartisan bill would protect consumers by providing them with better information about quality, price, and the nature of coverage provided for in competing plans. One of the most common concerns I hear from people as I travel around my state of Wyoming is that they don’t know what they are getting for their money until after they’ve already purchased it. There is no other private marketplace that works like that, and our health care system shouldn’t either. Buying a car or a house sight and price unseen does not make any sense, so why should you be expected to pay for your health care that way?
Fifth, many Democrats and Republicans support an appropriate level of government oversight of the marketplace to protect individuals against abuses that sometimes occur in today’s market. Such a change would also have a great, positive impact on driving down costs.
Sixth, a bipartisan health reform bill would provide subsidies to low-income Americans to give them the extra help they need to purchase health insurance. Many working Americans need help to purchase health insurance, and we should give them more choices beyond simply expanding unsustainable entitlement programs like Medicaid. Otherwise, we will continue to face the cost burdens of the uninsured showing up for treatment in the emergency room when it is most risky to their health, most difficult to treat, and most costly to the system.
Finally, such a bill must be fully paid for so that we do not increase our national deficit. I have spoken at length in the Senate about America’s fiscal situation. It is my belief that our nation’s credit card has reached its limit. The federal government debt is now more than $11 trillion, and our nation’s deficit stands at $1.84 trillion. And the Obama Administration claims to be ushering in an era of responsibility.
We conservatives believe that the Obama budget has ushered in an era of taxing too much, borrowing too much, and spending too much. The President’s budget sets aside $630 billion over ten years, which, according to the Administration, is “not sufficient to fully fund” health care but is the “first crucial step.” For reform to go anywhere, it is imperative that this step be paid for in full.
So far, the Administration has floated the idea of reducing the amount of tax deduction allowable for charitable giving in the top marginal tax rate. This policy has been roundly criticized by Members on both sides of the aisle and by charities across the country as misguided, ill-timed, and simply a nonstarter. And others have talked about an idea that must clearly be taken off the table in order to reach a bipartisan agreement on health reform. That is, we will not pay for health reform by enacting an onerous cap-and-tax on energy costs for the American people.”
Now, let’s hear the presidential response. The silence will be deafening, I’m sure.