June 19, 2009
HOUSE DEMS PRESENT TRI-COMMITTEE PLAN.... There's been plenty of attention focused this week on the health care negotiations in the Senate, but let's not forget there's another chamber working on a reform package, too.
House Democrats released the outline of their health care reform bill Friday - a proposal that would create a public insurance option, expand Medicaid, and require employers to provide coverage or pay a tax.
The outline did not include details on how Democrats would pay for the plan.
It does provide the first look at how Democrats would structure a public insurance option -- an idea favored by many in the party, but one in which the Senate has been struggling to find agreement.
The public option is more liberal than what senators are considering, and it is likely to draw fire from the American Medical Association because of the payment levels. It would pay Medicare rates during the ramp-up phase.
The proposal is the result of the combined efforts of three House committee chairs -- George Miller (D-Calif.) on the Committee on Education and Labor, Henry Waxman (D-Calif.) on the Energy and Commerce Committee, and Charles B. Rangel (D-N.Y.) of the Ways and Means Committee.
Their work together on this is of particular interest, in part because of the recent past. Jonathan Cohn noted, "The fact that the three are producing language together is, itself, a pretty strong statement: In 1993 and 1994, committee infighting was a significant factor in the failure of reform. This time, everybody is on the same page."
To pay for this, House Democrats are eyeing a possible V.A.T.
The committee chairs have posted a whole lot of information on the plan, including the bill text, a discussion draft summary, a piece on the public option, and a list of "12 ways health care reform will help you and your family."
Update: Marc Ambinder has a good item on this, noting a key detail: "There's an interesting trigger mechanism for a public plan; it would tie itself to Medicare's provider rates for a few years, and then de-tether, meaning that, in essence, it would be very competitive early on but less so later, rewarding insurance companies who act quickly to match its efficiency."
—Steve Benen 2:35 PM
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To say that I am discouraged over this whole healthcare debate is the understatement of the century.
I feel that We the People are being sold out...again.
Posted by: MsJoanne on June 19, 2009 at 2:40 PM | PERMALINK
May be good enough, & seems less a sellout to the industries and AMA that the patrician Senate's operation. Above all, don't let critics wield the surprisingly effective scam of pretending that money spent on health care plan X is a net cost. After all, we'd be spending money anyway, so the issue is the net cost-benefit comparison. Of course, what is borrowed v. collected in real time does matter.
Posted by: Neil B ♪ on June 19, 2009 at 2:49 PM | PERMALINK
No go. Paying new taxes, not for a real overhaul of the system, but for a crippled "level playing field" public option that will not be in a position to ratchet down costs? That's a political non-starter, as well it should be. If this is the best House progressives can come up with, we're well and truly screwed.
So just forget the whole damn thing. Wait till the unsustainability of the current system produces a full-blown crisis (which is not too many years away), then use that opportunity to kill off for-profit healthcare altogether and build a new public system from the ground up. This "building on what works in the current system" mantra that everyone has adopted is bullcrap. You can't grow healthy tissue on top of a tumor.
Posted by: Steve LaBonne on June 19, 2009 at 2:51 PM | PERMALINK
Mr. LaBonne, I am completely with you. If thousands of Americans have to die and/or file bankruptcy for the assholes who are supposed to represent us to make a change to finally and completely kill for-profit healthcare, so be it.
Nevermind that thousands of businesses will go under. Nevermind that we will remain uncompetitive in a global market. Nevermind what havoc it will continue to wreak on our already weakened economy.
If this is what Washington wants, fine.
This half measure crap, this mandating us to buy from the for-profits, well, let's just say over my cold, dead body (which I am sure would make the health denying companies pleased as punch).
Posted by: MsJoanne on June 19, 2009 at 3:10 PM | PERMALINK
If thousands of Americans have to die and/or file bankruptcy for the assholes who are supposed to represent us to make a change to finally and completely kill for-profit healthcare, so be it.
Nevermind that thousands of businesses will go under. Nevermind that we will remain uncompetitive in a global market. Nevermind what havoc it will continue to wreak on our already weakened economy.
I wish any of that would actually be prevented by even the least-worst plans being entertained in Congress. Sadly, that's simply not the case. We can have all those bad consequences plus fake "reform" that does nothing to prevent the catastrophe from continuing (but DOES give health care reform a stinking name for yet another generation), or we can wait for the right political conditions and end the carnage once and for all.
Posted by: Steve LaBonne on June 19, 2009 at 3:21 PM | PERMALINK
Speaking as one from a country in which true universal coverage for everyone exists, a true one payer system, a system that is not based on making a 'profit' when someone has medical problems, I can only say that your system, a system in which based on making a profit based on someone being sick, is itself FUCKING SICK. It's , in fact, evil to me ... welcome to your 'super' capitalism. And forcing people to buy medical insurance , forcing them, in order to then call your already sick / evil system 'universal' coverage is a symptom of the corruption that defines every aspect of your countries reality.
Posted by: blue on June 19, 2009 at 3:21 PM | PERMALINK
bitch, bitch, bitch. How many posters here have actually read the policy proposals?
Posted by: ceenik on June 19, 2009 at 3:30 PM | PERMALINK
bitch, bitch, bitch. How many posters here have actually read the policy proposals?
I did, ace, how about you? Get back to us when you have something intelligent to say.
Posted by: Steve LaBonne on June 19, 2009 at 3:32 PM | PERMALINK
bitch, bitch, bitch. How many posters here have actually read the policy proposals?
Posted by: ceenik on June 19, 2009 at 3:30 PM |
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quite a few of us have. especially that horrendous finance cmte bill. now the 800 page gargantuan of a house proposal represents its own hurdle but it's being worked through. (there is no reason it needs to be 800 pages). now please go back to selling the people out.
Posted by: Pindar on June 19, 2009 at 3:34 PM | PERMALINK
Like I've mentioned before, Congressmen either do not fully understand or choose not to fully grasp the seriousness of the problem. Many, if not most, are beholden to the drug companies, insurance companies, etc. (Those who are not directly beholden have close family members who are). They are so fully entrenched in the "moneyed" interested that they are unable to make a complete overhaul.
We elected these people, they supposedly work for us. Let's start on a level playing field by taking their benefits away from them. Let them craft something we can live with and give them the same exact choices. I suppose this is over simplistic...I'm just so sick of the back and forth on this matter and feel like, in the end, we are going to end up with nothing much better than the current chaos.
Posted by: whichwitch on June 19, 2009 at 3:44 PM | PERMALINK
What's most disgusting is that HR 676 was already written with how to fund it.
http://www.thomas.gov/home/gpoxmlc110/h676_ih.xml
THIS is healthcare reform.
The bullshit they put out today is not.
Posted by: MsJoanne on June 19, 2009 at 4:12 PM | PERMALINK
"House Democrats are eyeing a possible V.A.T."
Not yet ANOTHER regressive tax.
Posted by: Joe Friday on June 19, 2009 at 5:50 PM | PERMALINK
What's happened to all the progressives in Congress? Aren't they there in reality? Why isn't ANYONE fighting for a public plan that helps the individual American. A really sad statement for Americans if this is the best Dems can do with a Dem in the WH and in "control" of Congress. Remember all the Repub crap of the dangers of one-party rule? What we really have is one-party rule by big business interests. So horrifying to watch Congress piss away significant reform AGAIN.
Posted by: klara on June 19, 2009 at 7:16 PM | PERMALINK
Here's what this is REALLY all about: passing the individual mandate, which is a bailout for the private health-insurance industry, an industry that's in deep trouble.
So here's the deal: no ROBUST public option (i.e. one fully capable of eating the private insurers' lunch in the long run and paving the way for single-payer), no deal. The House Progressive Caucus MUST stand firm on this. Killing the bill is VASTLY, VASTLY preferable to a worthless "compromise".
From a story in today's Chicago Tribune:
The best way for the industry to preserve the private insurance market -- and derail the campaign for a single-payer system -- may be to go along with more palatable proposals on the table now, said Jeffrey Miles, a healthcare analyst and president of the Miles Organization, a Los Angeles insurance brokerage firm. "If healthcare goes down this year, you are going to end up with single-payer care much sooner than anyone expected," he said.
In other words, folks, we're being had. Block fake "reform" and we'll have REAL reform sooner than people think.
Posted by: Steve LaBonne on June 19, 2009 at 7:45 PM | PERMALINK
Steve LaBonne
You are so right! I will not vote for anyone who does not support single payer. And that includes Pres. Obama.
In my state, North Carolina, there is no third party. So I will go to the poll and write in you!
Or whoever sounds good at the time. Maybe Reginald Perring. At least, like you, he's honest.
Posted by: elouise on June 19, 2009 at 10:04 PM | PERMALINK
all you hacks advocating for single payer have no idea that many of your favorite European countries are rolling back their health care systems. France has moved towards a private system where 80% of the population has private insurance. government programs don't work. many doctors don't accept medicare and medicaid already. the public plan will result in poor care for those on it. And one thing you guys forget is that in Europe, medical school is free for all students. Doctors here need big salaries to pay off their debt. Single payer health care will drive many of the best potential doctors away because they don't want to be servants of the state.
Posted by: Mario on June 20, 2009 at 2:12 PM | PERMALINK
3dDWkT
Posted by: Llqtlfak on July 16, 2009 at 4:44 AM | PERMALINK