Some Basic Info on CBO Scoring of Healthcare Bills

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:

CBO: Public Option To Attract Only 6 Million Enrollees & Doesn’t Offer Lower Premiums

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
Cost: $894B/10yrs
Spends on subsidies: $605B/10yrs
On Medicaid/CHIP: $425B/10yrs
On Small Employer Credit: $25B/10yrs
Reduce deficits: $81B/10yrs
Cost: $829B/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
Medicare
and
Medicaid
Total savings: 426B/10yrs
Medicare Advantage: $170B/10yrs
Total savings: 404B/10yrs
Medicare Advantage: $117B/10yrs

With a Single Payer solution it would be everybody in and nobody out - AND it would save a heck of a lot more money for everyone.

The difference is not just everyone being covered but HUNDREDS of BILLIONS of DOLLARS saved every year:

The reason we spend more and get less than the rest of the world is
because we have a patchwork system of for-profit payers. Private
insurers necessarily waste health dollars on things that have nothing
to do with care: overhead, underwriting, billing, sales and marketing
departments as well as huge profits and exorbitant executive pay.
Doctors and hospitals must maintain costly administrative staffs to
deal with the bureaucracy. Combined, this needless administration
consumes one-third (31 percent) of Americans’ health dollars.

Single-payer financing is the only way to recapture this wasted
money. The potential savings on paperwork, more than $350 billion per
year, are enough to provide comprehensive coverage to everyone without
paying any more than we already do.

Under a single-payer system, all Americans would be covered for all
medically necessary services, including: doctor, hospital, preventive,
long-term care, mental health, reproductive health care, dental,
vision, prescription drug and medical supply costs. Patients would
regain free choice of doctor and hospital, and doctors would regain
autonomy over patient care.

There are too many reasons why so many Doctors and Nurses support single payer. Some frequently asked questions concerning Single Payer:

[update] Susie Madrak at C&L suggests you do the math:


The bill provides financial assistance on a sliding scale. Premiums
range from 1.5 percent of income to 12% for those at 400% of the
Federal Poverty Level. The plan provides additional assistance for
households up to 400% of the FPL by limiting cost-sharing to 3% of plan
costs at the lowest tier, to 30% of plan costs at 350-400% of the FPL.

For instance: If your income is under 133-150% of the poverty level,
your premiums will be limited to a range of 1.5 to 3%. That means
you'll pay 3% of plan costs, with an annual out-of-pocket cap of $500
for individuals and $1000 for families.

And so on:

150-200% - 3-5.5% - 7% - $1000/$2000

200-250% - 5.5-8% - 15% - $2000/$4000

250-300% - 8-10% - 22% - $4000/$8000

300-350% - 10-11% - 28% - $4500/$9000

350-400% - 11-12% - 30% - $5000/$10,000

The Federal Poverty Level is:

Persons in family

1 $10,830

2 14,570

3 18,310

4 22,050

5 25,790

6 29,530

7 33,270

8 37,010

For families with more than 8 persons, add $3,740 for each additional person.

So although I've been on unemployment for the past year, I would be
expected to pay approximately $4000 a year. Huh?
Your individual
mileage may vary, but those figures aren't very reassuring to me.

Do the math, and let me know if you think this is affordable.

Go ahead and figure it out for yourselves. Is this making healthcare more affordable for you?

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