Editore"s Note
Tilting at Windmills

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November 3, 2009

FALLING SHORT OF LOW EXPECTATIONS.... The goading and taunts appear to have been effective: House Republicans will have a health care reform bill. It's been sent to the Congressional Budget Office for scoring, and will, if all goes according to plan, be ready to go 72 hours before a possible floor vote on the Democratic proposal.

So, what's in it? We won't know for sure until it's formally unveiled, but House GOP leaders started offering some details yesterday. At this point, their proposal may be even worse than expected.

Republicans are preparing to unveil their own health bill in the next few days. Minority Leader John Boehner (R., Ohio) said Monday that the plan wouldn't seek to prevent health-insurance companies from denying sick people insurance -- a key plank of the Democrats' legislation.

It seemed for a while that there was one thing everyone could agree on -- private insurers shouldn't be able to discriminate against consumers based on pre-existing conditions. But barring any changes to the Republican plan, GOP lawmakers aren't even prepared to inconvenience private insurance companies with popular, common sense provision.

A Wall Street Journal report added yesterday, "Republicans also wouldn't prevent insurers from ending policies once an individual becomes seriously ill."

There would also be no individual mandate, no employer mandate, no exchange, and no tax credits or subsidies to help purchase coverage.

Indeed, the basis for the GOP's approach to reform rejects the notion of bringing coverage to those who don't have it. For Republicans, the point of the endeavor is to lower costs, not help the uninsured. "[Democrats'] focus is to get as close presumably to universal coverage as possible," GOP Conference Chairman Mike Pence (R-Ind.) said. "Republicans, listening to the American people back home, believe the real issue here is cost."

I see. So, if you're among the tens of millions of Americans with no coverage, the Republican plan isn't for you. If you have a pre-existing condition, the Republican plan isn't for you. If you're worried about your private insurer dropping you when you need coverage most, the Republican plan isn't for you. But if you're an executive at an insurance company, you're going to just love the GOP alternative plan.

If the descriptions of the GOP proposal are accurate, the House Republican reform plan may be quite a gift to Democrats.

Steve Benen 8:35 AM Permalink | Trackbacks | Comments (21)
 
Comments

So their reform is offering the choice of an HMO or a PPO?

Posted by: SaintZak on November 3, 2009 at 8:41 AM | PERMALINK

If this is true, I hope the media covers it with the same balance as normal: "Republicans say rescission is good, Democrats disagree."

Somehow I doubt that will be the case.

Posted by: TonyB on November 3, 2009 at 8:42 AM | PERMALINK

Repugnants' healthcare reform really is

"Don't get sick, If you do get sick, hurry up and die."

That and

"Bring the money to the insurance companies."

Posted by: neill on November 3, 2009 at 8:43 AM | PERMALINK

Hope Grayson has a field day with this...
Prescient words..."Don't get sick, If you do get sick, hurry up and die."

Posted by: JM on November 3, 2009 at 8:47 AM | PERMALINK

As TonyB intimates, I fully expect the media to cover the Republicans' bill with solemn, serious, and thoughtful insight, elevating it to be on an even keel with the Democrats' plan.

The recipe is set for yet another 'two sides' discussion amongst the chattering class and the Village in general, with equal seriousness applied to each plan from the start.

Posted by: terraformer on November 3, 2009 at 8:50 AM | PERMALINK

I'm glad to see that Republicans are comitted to helping the unfortunate and disadvantaged through crises.

Republican motto: "We give a leg up to those that already have a ladder."

Posted by: Twiist on November 3, 2009 at 8:51 AM | PERMALINK

Let me guess.

1) Doctors are wealthy. Lowering taxes on the wealthy will lower taxes on doctors and they will pass the savings on to us.

2) Eliminate malpractice lawsuits. This will lower the insurance premiums that doctors pay and they will pass the savings on to us.

3) Reduce regulations on drug companies. Allow them to test drugs on poor people. This will lower their costs and pass the savings on to us.

4) Outlaw abortion and birth control. Fewer medical procedures in these areas will reduce the demand for medical care... and the cost savings will be passed on to the consumer.

5) Create prayer centers for healing the poor. Sending messages asking for divine intervention is is the most cost effective means of treating poor people. Rich people are already favored by god, so if they get sick they will need doctors.

6) Bomb Iran. There is no rational reason it will be in there, but probably it probably will.

etc.

Posted by: Buford on November 3, 2009 at 8:54 AM | PERMALINK

"....Republican reform plan may be quite a gift to Democrats".
Are you sure? Don't the polls show MOST people are happy with their existing insurance plan? And the GOP is about to show how the cost of that plan can be lowered (by crapping on the poor and disadvantaged)? I see a major marketing need looming for the Democrats who are notoriously fall-down stupid on precisely this point. Interesting times.

Posted by: Chopin on November 3, 2009 at 8:59 AM | PERMALINK

So does the GOP plan include the costs to be incurred for the death panels and hospices that will be needed once the uninsured have been kicked out of the emergency room to the curb?

Healthcare is a CLOSED system. Unless you are willing to go the Soylent Green route, you will never reduce the costs from all the emergency room care for the uninsured.

Posted by: bdop4 on November 3, 2009 at 9:06 AM | PERMALINK

Well, if you don't have health insurance, you're not paying anything for it, you lucky duckie, so you don't need a health-care plan to bring your costs down.

Posted by: Seth Gordon on November 3, 2009 at 9:10 AM | PERMALINK

Buford! "Bomb Iran"...where can I send my dry cleaning bill! Great line..

Posted by: sduffys on November 3, 2009 at 9:21 AM | PERMALINK

The sad thing is the Republicans want to squeeze the people with incomes under $40K. The Dem plans all squeeze people from $30K to $60K. My biggest source of pessimism right now, though, is the House bill. This was their opportunity to stuff reform down the Senate's throat, and they are taking a pass.

Posted by: Danp on November 3, 2009 at 9:27 AM | PERMALINK

I'm looking forward to this, actually. If the Republicans think that "lowering costs" is the most important way to go, then there's a very easy way to lower costs across the board. I.e., government price controls.

Posted by: Christopher on November 3, 2009 at 9:47 AM | PERMALINK

Let's see here: first the GOPers presented a 'budget' with no numbers in it. Now, they're planning to present a plan for healthcare reform with no reform in it. Makes sense to me.

Posted by: azportsider on November 3, 2009 at 9:48 AM | PERMALINK

You write/quote: Minority Leader John Boehner (R., Ohio) said Monday that the plan wouldn't seek to prevent health-insurance companies from denying sick people insurance... A Wall Street Journal report added yesterday, "Republicans also wouldn't prevent insurers from ending policies once an individual becomes seriously ill."

I don't think the word "insurance" means what Repubs seem to think it means.

Posted by: CMcC on November 3, 2009 at 10:05 AM | PERMALINK

And the GOP is about to show how the cost of that plan can be lowered (by crapping on the poor and disadvantaged)?-Chopin

The GOP proposal I've gleaned from reports, "plans" (and here I use the term loosely) to control costs principally by tort reform and interstate insurance purchases. Oh, and small businesses will be allowed to pool. So, Republicans "showing how the cost of that plan can be lowered" is a dubious claim, the media's efforts at balance in trying to treat the GOP plan seriously aside.

Posted by: oh my on November 3, 2009 at 10:06 AM | PERMALINK

Can someone explain what the "so-called" advantages of interstate insurance purchases? All I see is a race to the bottom by the insurance companies to the states with the least regulation and consumer protection. Can you say credit cards?

Posted by: Tigershark on November 3, 2009 at 10:12 AM | PERMALINK

So, what's in it?

Tax cuts for insurance company CEOs and Park Avenue doctors.

What else have Republicans ever offered besides tax cuts (and endless war)?

Posted by: Screamin' Demon on November 3, 2009 at 10:31 AM | PERMALINK

So, when unemployed/uncovered people have need of healthcare, what do they do? If I were a GOP congressperson/Blue Dogshit, I'd increase my investment in personal security. Also, you might want to be sure your security person doesn't have any pre-existing conditions or family members who may be subject to the GOP healthcare system. Would you want an angry person whose husband/wife/child/parent was denied coverage and died/went bankrupt because of a medical condition? These people cannot see a foot in front of their face. die Quickly, indeed.

Posted by: st john on November 3, 2009 at 10:45 AM | PERMALINK

lost my train of thought. Would you want an angry person whose husband/wife/child/parent was denied coverage and died/went bankrupt because of a medical condition in charge of your personal security or your family's? There are lots of returning vets who won't have coverage and have jobs in security. Beware whom you arm.

Posted by: st john on November 3, 2009 at 10:48 AM | PERMALINK

Hey, I bet it meets what seems to have become the primary criterion for goodness: it's short.

Posted by: Mike Jones on November 3, 2009 at 7:34 PM | PERMALINK
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