Via ThinkProgress, both the Baucus Bill and the plan put forward by Pelosi will enroll some more people but most will not be in the Public Option and it will not cover everyone:
The public option would attract about 6 million enrollees by 2019 and charge premiums that are “somewhat higher than the average premiums for the private plans in the exchanges.” This is because the public option would “engage in less management of utilization” by its enrollees and “attract a less healthy pool of enrollees,” the office concludes. Moreover, since the House bill expands Medicaid up to 150% of the federal poverty line, it’s possible that the enrollees that would have enrolled in the public option went into Medicaid instead.
Below is a comparison of the relevant provisions in the House and Senate Finance Committee legislation:
|CBO Score Of House Bill||CBO Score Of Baucus Bill|
|Costs||Reduce deficits: $104B/10yrs
Spends on subsidies: $605B/10yrs
On Medicaid/CHIP: $425B/10yrs
On Small Employer Credit: $25B/10yrs
|Reduce deficits: $81B/10yrs
Spends on subsidies: $461B/10yrs
On Medicaid/CHIP: $345B/10yrs
On Small Employer Credit: $23B/10yrs
|Insured||Uninsured reduced by: 36M
Uninsured in 2019: 18M
In Exchanges: 30M | Public Plan: 6M
In Medicaid: 15M
|Uninsured reduced by: 29M
Uninsured in 2019: 25M
In Exchanges: 23M
In Medicaid: 14M
|Revenue||Mandate penalty: $33B/10yrs
Pay-Play penalty: $135B/10yrs
New taxes: $572B/10yrs
|Mandate penalty: $4B/10yrs
Free rider penalty: $23B/10yrs
New taxes: $196B/10yrs
|Total savings: 426B/10yrs
Medicare Advantage: $170B/10yrs
|Total savings: 404B/10yrs
Medicare Advantage: $117B/10yrs
A couple weeks ago pharmaceutical companies pledged to "voluntarily" reduce their revenues by $80 Billion over 10 years. Forgive me for not standing up to salute that initiative.
Maybe it's because I can... like, do the math in my head.
$80 Billion / 10 years =
too damn little $8 billion per year.
That won't stop the spinmeisters who are brazenly pushing this as a great sacrifice, however, some people see this offer for what it is.
To be sure, $80 billion is less than one-tenth the projected cost of healthcare reform. But by striking this cost-sharing deal with one of the reform effort's leaders--Sen. Max Baucus--and the White House, drugmakers could shame other providers into cutting their prices, too.
Crossposted from DailyKos.
It yanks my chain whenever I see a show like MSNBC is putting on at noon Monday through Friday. Health care is at a tipping point, so what does MSNBC do? They put on fluff. She gets meaty guests, then flubs it. This interview with Tom Daschale is all broad strokes and no nitty gritty. She asks some tough questions, but lets Daschale skate without answering them.
Dr. Snyderman has been around tv for years. She was on ABC regularly. Now she's got her own spot on MSNBC at noon. The problem is she relies too much on her "authority" as an MD and she doesn't do what it takes to back up what she says.
Dr. Snyderman, trying to win an argument by saying, "Because I said so" or "I've read the research and it says I'm right on this" (without citing the source) doesn't do it for me. Take a page from Ross Perot's book and do the charts and show them to your audience. Cite your sources, don't use suspect sources. Spend less time grinding your ax and spend more time exploring ideas different than your own.Make the jump»
Cross-posted from dKos with permission of author, JDWolverton.
It happened again this morning. Some talking head on CNN was talking about making sure consumers had adequate choice in health care. What the heck was he talking about? I don't have a lot of choices when it comes to "choosing" my health insurance. ...and I don't have a lot to say about what my doctor recommends for me.
My choice for health insurance is either
Similarly, my choice of health care treatment is
This "choice" meme is particularly irritating to anyone who has faced these "choices".Make the jump»
What if we get what we have been asking for and every American is covered by medical insurance? It sounds wonderful to be able to give everyone access to healthcare - I am all for it. In a perfect world we would be healthier, live longer and the costs associated with healthcare for businesses large and small as well as the individual would become affordable. However, in the real world if nothing is fundamentally changed about the way the insurance companies operate we will continue to head towards a system that will lead to a further demoralized health care work force, good physicians will continue to leave the system, access to healthcare will be further restricted, and a viable doctor patient relationship may become a thing of the past. Make the jump»