It includes:
- A public insurance plan
- A health care mandate that all Americans have health insurance including the "invincible".
- Insurance Companies will be prohibited from denying coverage to those with existing health issues.
- The Income Tax increase Rangel promised on the "rich"
- Several of the provisions including the public plan only take affect after a couple of years.
So far details are limited with many questions left open:
- What penalty will exist for those who do not buy insurance but can afford it.
- What will the payment schedule for the public plan be?
- Will employers face a tax if they lack health plans for workers?
- Will low income families receive a subsidy to purchase insurance?
These are the tip of the ice berg and the only thing we can say for certain is that the Democrats have killed the idea of taxing employee health benefits for the time being. With Democrats balking at health care its clear this is an attempt to jump start the legislation. Expect a rush job and an ugly bill which no one will bother to read.
Update:
Key elements of the legislation include federal subsidies for poorer individuals and families to help them afford coverage.
Financing would come from a federal surtax on the upper income -- up to 5.4 percent on the income of taxpayers making more than $1 million a year -- as well as hundreds of billions of dollars in cuts in projected Medicare and Medicaid spending.
The new income tax on the wealthy is estimated to raise more than $500 billion over the next decade, and reductions in Medicaid and Medicare would account for nearly as much.
Democrats did not say in advance what the overall legislation would cost.
Numerous issues remain subject to change as the bill makes its way through committee. In particular, moderate to conservative Democrats have been negotiating for several days, asking for changes affecting rural health care as well as other issues.
Employers who do not offer coverage would be required to pay 8 percent of each uninsured worker's salary, with exemptions for smaller firms built into the legislation.
Individuals who refused to buy affordable coverage would be assessed as much as 2.5 percent of their adjusted gross income, up to the cost of an average health insurance plan, according to the legislation.
The legislation would set up a new government-run health insurance program to compete with private coverage. The plan's payments to medical providers such as hospitals and doctors would be keyed to the rates paid by Medicare, which are lower than what private insurers pay.
No number on the cost, pathetic. This is a left wing disaster that will utterly destroy the health care industry and the nations finances. Its Massachusetts health care on a grander more damaging scale.
Second Update:
We have a price tag, no thanks to the house but courtesy of the CBO:
1 TRILLION ! Via HA:
Actually, it’s really a cool trillion over five years. Eyeball the graph Philip Klein posted this afternoon and admire the left’s sleight of hand. They’re using a 10-year timeline to create the illusion that the program costs $100 billion a year or so. In fact, it’ll be more than $200 billion once it gets going, which won’t happen until 2014, and that’s assuming that the cost projections aren’t wildly over-optimistic the way every other projection they’ve made this year has turned out to be. In fact, the trillion-dollar figure doesn’t even account for all expenses; as MKH notes, the CBO has yet to compute “administrative costs” of implementing the program or the effect it’ll have on other areas of federal spending. Still, give The One credit for consistency: Whether it’s borrowing from future generations to pay for the stimulus or hiding the costs of his health-care boondoggle by backloading them, he’ll gladly pay you Tuesday for a hamburger today.
Remember rich is a sliding scale downwards as revenues inevitably dry up and costs exceed expectations.

OMG. The "rih" will cease to exist. Obama is already boosting income tax levels, and now additional healthcare surcharges. I am at the lower end of "rich" and I will deliberately become unrich, haha. I REFUSE to pay for others irresponsibility. The tax revenues are going to plummet as all the "rich" people act similarly to me. Pardon my language, but SCREW U to the Democrats and President Obama.
ReplyDeleteP.S. I am a minority independent voter.
ReplyDeleteanonymous,
ReplyDeleteyeah its that bad.
Insurance reform + medical provider reform = health care reform, right? Utah health insurance reform has been center focus for the state, UAHU and private insurance carriers over the past 24 months. Mike Oliphant (UAHU board webmaster) runs a small Utah based health insurance website http://www.healthinsurancetexas.biz as well as http://www.DentalInsuranceUtah.net . Mike’s viewpoint provides a unique analysis which comes from being a “fly on the wall” observer in countless state session and insurance meetings. “Utah has been thrust into a state insurance reform pressure cooker which isn’t necessarily negative where I am an insurer, insured and patient”. Several interesting changes took place with H.B. 188 passage earlier this year which seems all too familiar to the ongoing federal health care reform attempt under Obama’s administration. The spirit of the bill allows private Utah market place remedies. It essentially guarantees a Utah health insurance carrier a "no loss" or "no gain" premise over competing carriers that operate within the “Utah Insurance Exchange portal”. On the surface it would seem unattractive to a carrier’s consideration (voluntary at this point). But you have to understand the carriers’ goal is to cover their administration fees and maintain a 3% profit. The Utah health insurance reform model claims this can be accomplished now by legislation and the watchful eye of the state’s risk adjuster board. The medical claim risks are essentially shared equally among the participating carriers. Therefore, the carriers can focus on administration efficiencies more so than competition over a fluctuating market share. Insurance carriers such as SelectHealth have efficiencies and risk management experience polished by long tested actuarial tables with health statistics and claim trends. Is it a bad idea to share that experience with a national carrier such as Humana? Would it surprise anyone to know that maternity NICU and anti-depressants represent the highest utilization in health insurance costs for medical and pharmacy in Utah? Compare this to Texas which suffers from abnormally high levels of diabetes and liver disease per capita.
ReplyDeleteThe other half of the “health care reform equation” is medical provider and billing practices. The state claims this is on the agenda. It is popular belief among Utah legislators that reform stops with the insurance carrier. However, how can the insurance carrier continue to bear the risk and re-distribution of health insurance premiums back out the door in claims without provider billing reform? Add to this obstacle a continuing shrinkage of the insured populace. Obama’s administration proposes mandatory participation in a health insurance policy by employers of all sizes, self employed and unemployed populace. The logic being to shore up the unhealthy with healthy premium. When analyzing the Massachusetts’s system, you actually pay a penalty if you have no proof of coverage. The benefit level and health insurance price is nowhere close when you compare Utah health insurance quotes through HealthInsuranceSource.net or dental insurance quotes at DentalInsuranceUtah.net. Utah premium is easily half. This insight comes from a Utah health insurance agent whom often interacts with employers and residents looking for affordable coverage, making sure claims are paid correctly, implementation and explanation of the many policy procedures and putting a complex SelectHealth insurance language in understandable terms. Yet legislators claim agents to be of no value all in the name to save 3-4 off of Utah health%
With the latest announcement of hospitals agreeing to contribute $155 billion, where are the costs going to be shifted for this donation? In Utah, studies conducted by BenefitsManager.net revealed that cost shifting already exists in the ER. There is apparent lack of legislators in Utah and on the federal level proposing TORT REFORM.
this is a disaster. Our helath care system is not a right, and I dont want to pay for some obese persons obsession with fast food.
ReplyDeleteHealth care is not a right, huh?
ReplyDeleteIs safety a right? No? No more police then.
Education? Surely not - get rid of the schools.
And and those awful libraries filled with their liberal books... those have to go too.
I don't want to pay for an interstate system so that big fat guy in accounting can easily get to work - he should walk!
You use socialized services every single day and don't complain about them existing.
Everyone deserves to have health insurance. If they don't have insurance and get sick they go to the emergency rooms, which cost more than a person going before they get seriously ill.
ReplyDeleteWake up America