Tag: health care reform

While Sen. Harry Reid has 60 votes for tonight's vote, you have to read the fine print to know what it means and doesn't mean. It's not a vote on the health care bill, but only a vote on whether debate can begin on it.

[T]his vote simply says that the Senate is prepared to have a debate on the bill. From here, the bill will be discussed and possibly amended. Then Reid must find another sixty votes to end the debate, and then he'll need at least 51 Senators who want to vote the final product up. Clearly his work is far from over.

CNN: [More...]

McJoan at Daily Kos explains what needs to be fixed in the Senate version of the public option in the health care bill: It's the date on which the states can opt out. First,

There's no requirement of a waiting period before states can opt out, which in this political environment means the battle is taken directly to the states, because insurers will have until 2014 to get state legislatures to pass those laws. That could lead to as much as a third of country being left out, according to CBO estimates [pdf] (h/t Jon Walker).

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The Wall St. Journal reports the new Senate health care bill imposes a 5% tax on receipients of elective plastic surgery.

The tax would fall on the individuals who undergo the procedures. If they don’t pay it when they’re billed for their surgery, then it falls to the provider who performed the procedure.

Who gets the most plastic surgery? It's not the young.

Then there's the tax on "Cadillac health plans" defined as health care plans with premiums over $8,500 a year. The insurer pays it, but to recoup it, won't they just reduce benefits the plan provides? Anthem already sent out a letter that when renewed, my plan will no longer cover 100% of prescriptions. I bet this tax on Cadillac plans results in the plans becoming Chevys. [More...]

Here's the text of the new Senate Health Care Reform Bill. The Washington Post reports here. Via Huffington Post:

Reid's bill includes a national, government-run insurance plan that would be available to consumers within the health insurance exchanges that the reform effort establishes. States could opt out of the plan.

On abortion: [More...]

Mother Jones: Why Stupak is more radical than you think.

The two parts to the Stupak amendment:

The Stupak amendment mandates that no federal funds can be used to pay for an abortion or "cover any part of any health plan" that includes coverage of an abortion, except in cases where the mother’s life is in danger or the pregnancy was the result of rape or incest.

Part 1 is just the Hyde Amendment. But, part 2?

Where pro-lifers won big was on the second part, which could significantly limit the availability of private insurance plans that cover the procedure. That’s because Stupak’s amendment doesn’t just apply to the public option—the lower-cost plan to be offered by the government.

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A child born in the U.S. is an American citizen, even if his or her mother is an undocumented resident. That's a given under the Constitution. Since anti-choicers and those willing to put extra restrictions on health insurance based on gender, like those who voted for the Stupak Amendment, believe life begins at conception, how can they justify a health care bill that denies coverage, particularly pre-natal care and birth benefits, to undocumented or out-of-status pregnant women?

Ideally, the final health care bill should not prevent benefits to the undocumented at all. No human being is illegal. But, since some form of denial is present in both the House and Senate bills, at the very least, an exception should be made in the final bill for those who are pregnant. [More....]

Update: Stupak passes, only 1 present vote (Shadegg)because the anti-choicers said they'd score a present vote as a no vote. Final vote: 240 to 194, 1 present. Who are the 64 Dems who voted for the wire coat hanger amendment? The roll call vote is here. Shame on Colorado Rep. John Salazar, brother of former Sen. Ken Salazar.

Update: Reps. Diana DeGette and Louise Slaughter, co-chairs of the Congressional Pro-Choice Caucus, issue this statement:

“Placing onerous new restrictions on a woman’s right to choose sets a terrible precedent and marks a significant step backwards. This effort will effectively ban abortion coverage in all plans, both private and public – marking a significant scaling back of the options offered under existing laws. Such a terrible, last minute amendment to a critical, historic piece of legislation is a shame. This kind of outrageous interference in health care by the government marks a sad day in this struggle and will result in women across America losing the right to health care.”

Update: If the line is busy when you call, Tweet Your Rep.

The Stupak-Ellsworth-Pitts-Kaptur-Dahlkemper-Lipinski-Smith Amendment, to the health care reform bill (H.R. 3962)is being voted on today. Reportedly, it prevents federal funding of abortion and health insurance plans which include abortion coverage(Hyde Amendment). Supposedly, it will not affect coverage of abortion in non-subsidized health plans, and will not bar anyone from purchasing a supplemental abortion policy with their own funds. [More...]

Planned Parenthood breaks it down. At 2pm (ET), the House just began four more hours of debate on the bill.

Back in May, before any health care reform legislation was introduced, I wrote about Anthem/Blue Cross's employer rate hike in Colorado based on a law passed in 2007 preventing companies from charging unhealthy groups more than healthy groups. My premium (as a member of an employer healthy group)went up $240. a month.

Today, the Denver Post reports the same. What's more, Anthem is planning on raising employer rates an average of 12.5% next year.

Critics also question why insurance companies still are drawing attention to the 2-year-old law, especially since national reform proposals would ban medical underwriting — the practice of increasing premiums based on claim history.

"The trend at the national level is away from medical underwriting," said Denise de Percin, executive director of the Colorado Consumer Health Initiative. "So you really have to question the reason why they would continue to harp on this at the state level. Maybe the goal is politics, not policy."

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The House of Representatives will vote on the health care reform bill Saturday. The Republicans are offering their own bill, which is woefully inadequate:

The [Republican] measure would cover 3 million additional people at a cost of $60 billion through 2019, according to an analysis by the nonpartisan Congressional Budget Office. The Democrats' bill, by comparison, would cover far more -- 36 million additional Americans -- at a much higher cost -- $1.055 trillion through 2019, the CBO has said.

It would also result in more than 52 million uninusred Americans ten years from now. The Democrats' House bill would cover 96% of Americans in ten years. The AARP will announce its support for the House bill Thursday.

Revisions to the bill to rein in health insurance premium hikes have been introduced: [More...]

The Associated Press reports that number crunching shows that only 2% of Americans under age 65 will receive health insurance under the public option proposed in the House bill.

The Democratic health care bills would extend coverage to the uninsured by providing government help with premiums and prohibiting insurers from excluding people in poor health or charging them more. But to keep from piling more on the federal deficit, most of the uninsured will have to wait until 2013 for help. Even then, many will have to pay a significant share of their own health care costs.

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Scarecrow at Firedoglake explains the consequential difference between negotiated rates (in the House Health Care Reform Bill) and the Medicare +5% wanted by progressives:

CBO estimated that a Public Option available only to the uninsured, self-insured and small businesses (less than 20 employees) would have saved the federal budget $110 billion over ten years, if the PO paid health care providers at Medicare rates plus 5 percent. The savings would be only $25 billion if the PO were required to negotiate rates with providers. If Congress chooses negotiated rates, it raises budget costs by $85 billion for the limited access exchange(s).

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Speaker Nancy Pelosi introduced the House Health Care reform bill today. As predicted, it does not have the "robust" public option:

House leaders abandoned an earlier effort to include a public option that would have established reimbursement rates to providers based on Medicare. Although the provision was backed by liberals, it lacked enough votes to pass. Rural Democrats strongly opposed that approach because of the potentially ruinous effect on doctors and hospitals in their districts, where Medicare rates are generally well below the national average.

Instead, Pelosi is offering a more moderate alternative in which rates would be negotiated between providers and federal health officials, similar to the way in which private insurance operates. Majority Leader Harry M. Reid (D-Nev.) said he would include a similar provision in the Senate bill, though with an "opt out" clause for states that don't want to participate.

A four page summary is here. The full text is here. The top 14 provisions that take effect immediately are here. The top ten changes from the current system are here. The implementation timeline is here. The benefits to seniors and the disabled are here. [More...]

There was more action today in the Senate Finance Committee on health care. And Sen. Harry Reid addressed the public option:

"I favor a public option. We're going to do our very best to have a public option. But remember, a public option is a relative term," Reid, D-Nev., said Thursday.

Insurance companies aren't waiting for the outcome to announce changes. [More...]

Well, did we get anywhere spending the entire summer blogging about health care? Or was it wasted time? Should we have stuck to the crime reform issues that have made even less progress since Obama took office?

Your thoughts? I'll be in court early in the morning so I'm posting this now. It's an open thread, all topics welcome.