Tuesday, February 23, 2010

Side-by-Side Comparison of Major Health Care Reform Proposals

There's a (very comprehensive) tool posted on the Kaiser Foundation's website that allows you to compare the competing health care reform proposals. Pretty neat-o.
Did I mention that it's comprehensive?

Allows you to print them by pdf.

-JS

Best Year Ever for Health Insurers

Health Care for America now just released a report that shows last year, the five largest health insurers posted record profits of $12.2 billion, up 56% from the previous year.

Cigna's profit rose 346% in 2009.

Read the full report here on HCAN's site.

It's interesting to juxtapose these financial results against the rising slope of medical trend.

-JS








Monday, February 22, 2010

A Cautionary Tale in Healthcare Reform - From latimes.com

A cautionary tale in healthcare reform - latimes.com

In 1992, New York passed a law requiring insurers to accept all applicants. Essentially, no pre-ex, guaranteed issue policies for anyone.

Today, New York has the highest health insurance premiums in the country, and millions go without insurance.

It stands for good reason as to why the Health Reform Legislation should be cautious about providing insurance on an "all-comers" basis.

Posted using ShareThis

Wednesday, February 17, 2010

Obama Drafting His Own Health Bill?

If you want something done right. . .

Looks like Obama is creating his own version of a health bill. Read the breaking news story here.

The political ramifications will be interesting, depending about how he goes about this. If the Republicans can share some glory, then it might be enough to make this version stick.

-JS

Tuesday, January 19, 2010

What's the Rush?

Today's election of Republican Scott Brown to the Senate could prove to be a watershed in the health care reform debate. That is, if the Democrats allow it.

House Democrats announced today that should their counterparts in the Senate lose their 60 (anti-filibuster) votes, with a win by Brown, they would immediately approve the version of the health care bill that cleared the Senate. This would allow the legislation to go directly to President Obama for his signature.

As reported by the LA Times this morning, "The move would end negotiations over how to reconcile provisions on which the two chambers differ."

This procedural move would be next in a series of unorthodox plays made by the Democrats backing the bill. I understand political strategy, but this move shows desperation.

For starters, many of the amendments to the bill eventually passed by the Senate were voted on and adopted during late night votes. The motion of cloture, to end debate in order to officially take up the bill came late on Christmas Eve. It is one of the only occasions in our history a vote has been called on the night of December 24th.

Typically, once bills are passed in the House and the Senate, they are unified in committees and caucuses before they are sent to the President's desk. Often, these committees are held in a public forum. These committee hearings are what a viewer might see on an average night on C-SPAN. However, the Democrats opted to forgo the process of joint committee hearings, and instead negotiated the terms of the final bill in private sessions with President Obama in the Oval Office. It almost sounds like the plot of an episode on the West Wing.

With Brown's victory in Massachusetts, the Dems have lost their 60 vote supermajority in the Senate. The Times article stresses the significance and the impact of this powershift by explaining that, "To placate House liberals, many of whom think Senate leaders made too many concessions to win over conservative Democrats, the Senate would then be asked to pass separate bills to satisfy some of the liberals' demands, including scaling back a new tax on high-end "Cadillac" health plans. These Senate votes could be held under special procedural rules that would prevent filibusters" from killing the bill. This is the reason why they are sending it directly to Obama without further debate.

What's even more perplexing is that without further discussion, the Democrats will opt to settle for the bill as is; without many of the provisions which they previously hoped to include.

Another option under consideration by the House Democrats is to rush the bills through the House and Senate, before the results of the election are certified. That move would arguably be worse than sending it to Obama straightaway.

The bottom line is that if meaningful change to the health care system is to be considered, then why not make it count? In its current form, the respective bills do nothing to address to underlying causes of rising health care costs.

Why usher a half-baked bill through the system so quickly? And why accomplish it all at once?

Obama is conceivably making the same mistake that Bush did on immigration: producing a big, mammoth, comprehensive bill when the public mood was for small, discrete steps in what might reasonably seem the right direction.

Last year the public would have been happy to see a simple bill that mandated insurance companies offer universal coverage to individuals and small businesses, without respect to previous medical conditions. The administration could have had that- and the victory of it- last year. Instead they were greedy for glory.

Richard Kirsch, national campaign manager of Health Care for America Now, a coalition of liberal grass-roots groups, including labor unions stated, "We will aggressively urge Democrats to do the best possible bill quickly."

Why not urge them to create the best possible bill. Period. This could be the largest governmental reform in history.

So what's the rush?

Friday, January 8, 2010

Harvard-USC Study Predicts New Jobs From Health Care Overhaul. From Where, Exactly Will They Come?

A new study released today, conducted by USC and Harvard, predicts that health care cost increases would slow and that thousands of new jobs will be created as a result of the Health Care Overhaul.

The LA Times story can be found here.

According to the study, the legislation would slow the growth of medical costs, ostensibly freeing up dollars for which employers could use to create 250,000 to 400,000 new jobs a year, over the next decade.

If the bill aims to impose billions of dollars in new taxes on employer groups, individuals, and insurance companies, where exactly, will the savings come from in order to create the jobs?

Transitively, Higher Taxes = Zero Savings = No New Jobs.

In fact, the legislation could have the exact opposite effect. Higher premiums passed along by the insurance companies, coupled with higher taxes on employer groups would lead to a contraction in the job market. This would hold especially true for the small business market. And this has nothing to say about increased FICA, Medicare, and State Tax increases.

Many businesses will throw up their hands, recuse themselves from the business of providing health care benefits altogether, and provide waviers to their employees enabling them to obtain insurance on their own. The waivers, a key component of the Senate HELP bill, would allow employer groups with payrolls over $500,000 to skirt any penalties the legislation would impose on employers who do not provide benefits.

And why does the legislation focus solely on the insurance industry? Aren't hospitals, providers, and the pharmacy companies equally as culpable? Without a unilateral approach, there will be no slowing of any costs; certainly no reductions in premiums as Congress is promising.

J|S