Posted by: Jane Sasseen on October 29
Congress moved another step closer to health care reform today, with the release by Speaker Nancy Pelosi (D-Calif) of a combined House bill that merged together key aspects of the three bills that had passed the House in the summer. The bill — which came in at a whopping 1990 pages - contained a few significant changes, though no great surprises. Perhaps the most notable thing about it: even as Senate Majority Leader Harry Reid (D-Nev)surprised Washington earlier in the week by announcing that the Senate bill would be more liberal than many expected, Pelosi has been forced to push the House bill in a more moderate direction.
While Reid won plaudits from unions and the left of his party by pledging to include a public insurance plan that states can opt out of in the Senate bill, Pelosi backed down on her efforts to include the most aggressive plans for a public option in the House bill. For weeks, she had been pushing for a “robust” public option that would reimburse hospitals and doctors at Medicare rates. But conservative Blue Dogs and others from rural states would have none of it: they insisted that they would only support a public insurance option if it negotiates rates with health care providers like any private insurer.
While that will cost Uncle Sam more, the Blue Dogs argued that Medicare rates are simply too low; particularly in rural areas, they say many doctors wouldn't be able to afford to take on new patients in the public insurance plan and hospitals would be seriously underfunded.
"There has been a lot of concern that creating a public option at Medicare rates would really do harm in certain parts of the country, where their rates are so much lower than what private insurers can pay," says a key House staffer involved in the debate. "Where access is limited, a lot of people worry that Medicare rates would erode their ability to provide care."
Lacking the votes to push the robust plan through, Pelosi offered up the more moderate alternative in the combined bill, which will now be sent to the floor of the House for debate. Pelosi aims to have a vote before Veterans Day, Nov. 11th.
In other ways too, the Speaker ended up with a bill closer to the version likely to emerge from the Senate. The House bill would impose a 2.5% tax on medical device makers starting in 2013, for example. With the Senate targetting device makers too -- they have suggested a $40 billion excise tax to be paid over the next decade, the provision aligns the two bills on the principal. Most analysts believe the fees will eventually be knocked down to somewhere between $20 to $30 billion, however.
But elsewhere, there's still plenty of room for the House and Senate to tussle over the details ahead. The House bill includes higher penalties on businesses that don't provide insurance for their employees; those with more than 100 workers would be expected to cough up a penalty of 8% of payroll. And individuals who don't get coverage could face a penalty of 2.5%.
But the biggest difference -- and the biggest fight ahead -- comes in how the bill would be paid for. While the Senate wants to tax so-called "Cadillac" health care plans in order to fund health care reforms, the House wants to impose a surtax of 5.4% for individuals making adjusted gross incomes of over $500,000 and couples over $1 million a year to pay for a chunk of their bill.
While that's also a pullback from earlier proposals, which would have imposed the surtax starting at $350,000 a year for couples, that still won't likely be enough of a change to win support in the Senate. "We believe that these taxes are a non-starter in the Senate," wrote Rick Weissenstein, a health care analyst with Concept Capital's Washington Research Group, in a note to clients soon after the House bill was announced. Despite enormous opposition from labor unions --many of whose members have expensive plans that could fall under the tax -- he believes the tax on Cadillac plan will ultimately prevail as the main source of new funding for the reforms.
Greed. That's how the wealthy got wealthy and stay that way. Oh yeas they give millions, to make themselves feel less guilty, but ask them to pay higher taxes to share the wealth with their neighbors...NOOOOOOOOOOOOOOO.
Urgent!! Robert Reich on your healthcare http://bit.ly/SAQ7a
Why A Strong Public Option (Medicare Plus 5) Is Essential - By jacksmith - Working Class
Robert Reich explains the pubic option: http://bit.ly/dDYSJ
Hollywood Supports The Public Option :-) http://bit.ly/3XLwPi
Beautiful HEATHER GRAHAM http://bit.ly/12sRYD :-)
It's not just because more than two thirds of the American people want a single payer health care system. And if they cant have a single payer system 77% of all Americans want a strong government-run public option (Medicare Plus 5) on day one (86% of democrats, 75% of independents, and 72% republicans). Basically everyone.
It's not just because according to a new AARP POLL: 86 percent of seniors want universal healthcare security for All, including 93% of Democrats, 87% of Independents, and 78% of Republicans. With 79% of seniors supporting creating a new strong Government-run public option plan (Medicare Plus 5), available immediately. Including 89% of Democrats, 80% of Independents, and 61% of Republicans, STUNNING!!
It's not just because it will lower cost. Because a strong public option (Medicare Plus 5) will dramatically lower cost for everyone. And dramatically improved the quality of care everyone receives in America and around the World. Rich, middle class, and poor a like.
It's not just because it will save trillions of dollars and prevent the needless deaths of millions more of YOU, caused by a rush to profit by the DISGRACEFUL, GREED DRIVEN, PRIVATE FOR PROFIT MEDICAL INDUSTRIAL COMPLEX!
It's not just because every expert in every field, including economist, and Nobel laureates all agree that free market based healthcare systems don't work. Never have and never will. The US has the only truly free market based healthcare system in the World. And as you all know now, IT IS A DISASTER!
It's not just because providing or denying medically necessary care for profit motivations is wrong. Because it is WRONG! It's professionally, ethically, and morally REPUGNANT!, Animalistic, VILE and EVIL.
THE REASON THE PUBLIC OPTION IS ESSENTIAL:
The public option is ESSENTIAL because over 200 million of you are trapped in the forest of the wolves. Which is the forest of the DISGRACEFUL, GREED DRIVEN, PRIVATE FOR PROFIT MEDICAL INDUSTRIAL COMPLEX! With no way out except through needless inhumane suffering, and DEATH. While the wolves tear at your flesh, and rip you limb from lib. Then feast on your lifeless bodies like a dead carcase for transplant parts.
At the most vulnerable times of your lives (when you were sick and hurting), millions of you have had to fight and loose cruel, but heroic battles. Fighting against the big guns of the DISGRACEFUL, GREED DRIVEN, PRIVATE FOR PROFIT MEDICAL INDUSTRIAL COMPLEX! in the forest of the wolves. All because you have no place else to go. You have no other CHOICE!
But the PUBLIC OPTION (Medicare Plus 5) will give you someplace safe to go. And it will give us someplace safe to take you. The public option (Medicare Plus 5) will be your refugium (your refuge). Where the wolves cannot get at you when your down, hurting, and vulnerable. Where everyone who needs it can find rest, security, comfort and the care they need. Protected by the BIG GUNS of We The People Of The United States. THE MOST POWERFUL PEOPLE AND COUNTRY ON EARTH.
This is why it is so critical that we do not lead another 50 million vulnerable, uninsured Americans into the forest of the wolves, without the protections of a Strong Government-run public option (MEDICARE Plus 5). We The People Of The United States MUST NOT LET THAT HAPPEN to any more of our fellow Americans. If healthcare reform does not contain a STRONG public option on day one. YOU MUST! KILL IT. Or you will do far more harm than good. And millions more will die needlessly. Rich, middle class, and poor a like.
To those who would continue to obstruct good and true healthcare reform for the American people, and who seek to trap millions more vulnerable Americans in the forest of the wolves. We will continue to fight you. We are prepared to wage all out war against you, and will eagerly DESTROY! you. Time...is...UP! YOU HAVE BEEN WARNED! No Co-op's! No Triggers! NO INDIVIDUAL MANDATES! without a Strong public option (Medicare Plus 5) on day one.
Healthcare reform can be the GREATEST! Accomplishment of our time and century. A time when future generations may say of us, that we were all, AMERICAS GREATEST GENERATIONS.
BUT WE MUST ACT!
I therefore call on all my fellow Americans and the peoples of the World. To join us in this fight so that we may finish becoming the better America that we aspire to be for everyone.
SPREAD THE WORD!
I have been privileged to be witness as many of you fought, and struggled to take your first breath, and your last breath on this earth. Rich, middle class, and poor a like. Life is precious.
Whatever the cost. WE! MUST SUCCEED.
God Bless You My Fellow Human Beings
jacksmith - Working Class
ATTENTION!! Congress Has The Votes Needed To Pass A Public Option - TODAY http://bit.ly/TCq7O
Things You Can Do To Help NOW! http://www.everydaycitizen.com/2009/09/tired_of_watching_people_die_n.html
A majority of voters would rather have a Democrats only bill with a Public Option. Than a bipartisan bill without a Public Option.
A state based insurance plan is NOT!! a Public Option. Nor is it a Strong, National, Medicare like Public Option.
No Triggers! http://www.huffingtonpost.com/jason-rosenbaum/a-trigger-for-the-public_b_277910.html
Triggers http://www.huffingtonpost.com/david-sirota/weve-seen-these-triggers_b_283583.html
Krugman on heathcare (http://krugman.blogs.nytimes.com/2009/07/25/why-markets-cant-cure-healthcare/)
Senator Bernie Sanders on healthcare (http://www.youtube.com/watch?v=RSM8t_cLZgk&feature=player_embedded)
John Garamendi on the Public Option and the Grassroots: http://bit.ly/TJMty
Howard Dean on the Public Option http://www.youtube.com/watch?v=8SKfW2dUnow&feature=player_embedded
We're Number 37! in quality of health care http://www.youtube.com/watch?v=yVgOl3cETb4&feature=player_embedded
Twitter search (#welovethenhs #NHS #hc09 #hcr #healthcar #obama #p2 #topprog #) Check it out.
Us regular folks receive on average $12,000 per year social security retirement at age 67. The typical government employee receives an average $60,000 per year pension (plus medical insurance)at age 52 (15 years earlier than the rest of us). If we increase all government employee retirement dates to age 67 (same as the rest of us) the savings would fund universal insurance....I'm not saying we cut their pension....they would still get their $60,000 per year and we would still just get our $12,000 per year....all I'm asking is that their payout doesn't begin till age 67.....but they are too greedy to consider this.
Kendrick they got and stay rich because they worked thier asses off and took risks to get there, don't like it? Then do the same...this is America everyone has an opportunity here if they seize the opportunity.Obviously you only want to sieze" their money without working hard for it...typical.
I think healthcare reform at this point is crazy.I think that this is not the most important problem facing America. Get are boys back home first,get the economy and some jobs going the maybe they can think about some sort of healthcare reform. Hello common sence...................
Let's be honest America. There's not enough money from the millionaires to pay for health care reform. So where will the money come from? All of us will pay more TAXES. That's right. The bill is NOT deficit neutral. Don't be naive to think only the rich will pay. We will all pay more taxes for health care reform.
Kendrick,
Your "share the wealth" comment is typical of 2 types of people: life-long poor people and far-left democrats.
The habitually poor act just like Brian said: they dont take risks or work hard for their education. They're content to live out their lives w/o ambition or money. These folks dont "deserve" to have the wealth spread to them.
The far left believes that everyone deserves handouts from the govt, and the only place for all those handouts to come from is the rich. The rich deserve to keep their hard-earned money far more than the poor deserve to take it from them.
History has proven again and again that heavy-handed governments do NOT produce prosperous nations.
It's time that the US joins the rest of the civilized world. Finally American don't have to worry about losing health care for themselves and their family should they get laid off - or go bankrupt should they catch a life threaten illness.
It's time that the US joins the rest of the civilized world. Finally American don't have to worry about losing health care for themselves and their family should they get laid off - or go bankrupt should they catch a life threaten illness.
JOBS!!!!! THAT IS WHAT PEOPLE NEED.
how are people gonna pay for health care plan without decent jobs?
Those in congress and the junior senator in the white house do not know how to help American.
With jobs, people will see hope. without jobs, who cares about healthcare
Came from a poor immigrant family and worked 2 jobs until I got my law degree. And now I will end up paying more than my Canadian cousins in taxes since I live in NYC. NYC = 39.1% (federal) + 8.97% (state) + 3.648% (city) + 5.4% (surtax) + 8.875% (sales tax) = 65.99% where as Toronto = 29% (federal) + 19.83% (province)+ 0% (city) + 13% (sales tax) = 61.83%. And yet they don't have taxes on gifts, inheritance, and will continue to have a special lower tax rate on dividends. If it wasn't for the unconstitutional 50% exit tax on all assets and needing to apply for a bar license in canada, i would move there.
I wanted to add that as a 44 year old disabled american scares the hell out of me on what a lot of americans are trying to ruin to go forward to being a citizen of this great country. As time goes by, so does change and that was what this whole campigne was about last presidential elections. As Americans, we have to let this happen (health care reform act) or we are in stale mate as we have been for years now. Let's spin out of this spoiled country we have become and help one another instead of fighting each other. Let people at least get their health in this country or we could face being a third world country someday down the road, but it is heading that way unless we as Americans, stand for "change". That goes with the times and they change whether we like it or not. Just another American opinion.
I wanted to add that as a 44 year old disabled american scares the hell out of me on what a lot of americans are trying to ruin to go forward to being a citizen of this great country. As time goes by, so does change and that was what this whole campigne was about last presidential elections. As Americans, we have to let this happen (health care reform act) or we are in stale mate as we have been for years now. Let's spin out of this spoiled country we have become and help one another instead of fighting each other. Let people at least get their health in this country or we could face being a third world country someday down the road, but it is heading that way unless we as Americans, stand for "change". That goes with the times and they change whether we like it or not. Just another American opinion.
I think we are missing the bigger picture here. Large government programs (like Social Security, Medicare and Medicaid) cost taxpayers a huge sum. These 'entitlements' are among the biggest issues adding to our national debt, a problem that will be left to our kids and grandkids to deal with.
All these programs are coming from a government that, I believe, is already too big. We should be looking for ways to shrink government involvement in our lives, not increase it, and let the free market take care of itself.
Kendrick, does the word 'socialism' mean anything to you?
Pam, great idea. Perhaps this is an idea we the people should be asking our public servants and candidates.
Brain, I can agree in principle. However...My dad worked 2-3-jobs most of his life. A retired federal worker now living on a fixed income, he is in danger of losing his home because of a recent injury (short version of a long story.) Having spent 32 years in govt employ and having govt insurance, shouldn't he have the right to reasonable care without losing the home he worked his ass off for?
The topic here is supposed to be healthcare reform. I can't help but wonder if reform could come in the form of freezing rates charged by hospitals and insurance companies and costs patients incur. I doubt a bill like that would take 1990 pages to write or add (how many?) government jobs (adding to the program cost and the debt), and would help stabilize the healthcare industry.
Or maybe...Do nothing and let the free market take care of itself.
Just thinking out loud.
Joe
Health Care Reform is NOT free Health care... Free Health Care is Medicaid. This just requires businesses to REQUIRE EMPLOYEES TO PURCHASE a Health care plan. It does not make Businesses purchase plans for their employees. If you are looking for FREE HEALTHCARE, THIS IS NOT IT! Free Health care is socialized medicine along w/ higher taxes. If You want Canada's health care... GO THERE and give up your citizenship in the land of the free and home of the brave. Most rich get richer because they are not trying to cheat the system by living off of welfare. They are taking chances and working for a living!
How come when a conservative wants to give money to a cause or something they donate, but when a liberal wants to do something they spend other peoples money by having the government support the program?
Earlier today (5+ hrs ago) I put a comment in here. Why isn't it up yet? Was I too close to the truth?
Brain, actually 69% of the richest people in the US and the world INHERIT their money, the other 30 odd percent "worked hard." But most of those "hard working", "self made" came from well to do families. Ideally yes everyone in America has an opportunity to get rich, realistically not so much. The possibility is always there but are you really trying to tell me you think some who has the connections and money and someone who comes from nothing are on the same playing field? Let's not be dramatic, i don't, and i don't think Kendrick, was saying that we "seize" the millions/billions of the wealthy. Bottom line a person who is considerate of their other fellow Americans (i know hard concept to understand for Americans) should want to give back, those who have more should feel more of a duty to help those in need. You don't need to give all your money away, but helping others never heart. Whether it be a tax or charity who cares. I would be more worried about why the wealthy don't have this sort of sentiment.
No matter what the government does regarding 'Health Care Reform' it's all going to blow-up in their faces. Americans will NOT become 'healthy' by passing Health Care Reform. That's WHY it'll blow-up in their faces. Another collapse is going to take place in the USA. It'll be the final dagger in a system that's completely broken, in my opinion.
The current offering for health care reform will use government’s advantages to force consumers and employers to pay even more money for health care, which will then be given to insurers and hospitals that have a long history of failing to serve us fairly.
We must have lower cost alternatives to insurance funding and lower cost alternatives to current hospitals and health care delivery systems or meaningful reform will not be possible.
If the President and legislators would allow a CBO study that would compare a dual public/private system to any other health reform, that study will scream for us to start over.
Providing health care efficiently saves lives and saves money.
Nobody can collect the money to pay for health care as cheaply as the government can through a national sales tax, and nobody can deliver high quality care and medications as cost effectively as the VA.
Two choices should be offered to everyone to use either; free public health care, no insurance, no co pays, free period, sales tax funded, from a new system of government owned and operated hospitals, using the VA format, which would deliver all government funded care, or alternatively consumers could choose to purchase private insurance and private care.
Employers who select public care for their employees would not be required to pay for or have anything further to do with health care.
Government’s advantages used for consumers, employers, and taxpayers would save hundreds of billions annually and always free care would be available.
What happens if you work hard but fail the risks? I.e. you do something risky and a disaster happens? Can you recover from any disaster?
It seems you downplay the outside circumstances and focus on the working hard, when there are also people who work their ass off yet make only meager returns...
...and that people can be born into wealth...
...and finally, that money carries responsibility, including to others, regardless of how it was made...
Washington Bureau Chief Jane Sasseen and other BusinessWeek writers peel back the curtain on the economy, business and money matters at the White House, Congress, and federal agencies.