个人资料
正文

Gov\'t insurance option isn\'t quietly fading away

(2009-10-14 15:35:09) 下一个

Oct 14, 5:45 PM (ET)

By RICARDO ALONSO-ZALDIVAR

WASHINGTON (AP) - Fears about high costs of the health care overhaul and mistrust of insurers are rekindling interest in letting the government sell health insurance as part of the plan.

The leading congressional proposal as of Wednesday - a Senate Finance bill that relies on private coverage with no new government plan - could price out some 17 million Americans. And the insurance industry may have unwittingly helped the case for public coverage with a report over the weekend asserting the Finance bill would raise premiums for everyone.

Business groups and conservatives remain steadfastly opposed to government insurance - formidable political opposition that shows no sign of weakening. So advocates are getting creative, trying to reformulate the "public option" in a way that can gain the 60 votes needed to clear the Senate.

Instead of an all-or-nothing approach, they're trying to provide choices.

(AP) Senate Majority Leader Harry Reid of Nev., center, flanked by Senate Banking Committee Chairman...
Full Image
What if each state could decide whether to offer public coverage instead of having it decreed from Washington - as proposed by Sen. Tom Carper, D-Del.?

What if states had a menu of options, from nonprofit co-ops to using their own employee health plans?

What if public coverage were offered only as a backstop in areas where one insurer has a lock on the market?

"We are all talking together, trying to find something that not everyone will love but the entire (Democratic) caucus will come to agreement on," said Sen. Chuck Schumer, D-N.Y., who for months has been seeking a politically viable compromise. "It's going to be something flexible, but not weak."

The lone Republican to back health care overhaul legislation, Maine Sen. Olympia Snowe, has suggested a possible way out: allowing a public plan to kick in if competition among health insurance companies under a revamped system fails to bring down costs. Snowe is opposed to government insurance as a first-line solution.

(AP) White House Chief of Staff Rahm Emanuel, second from right, meets with, from left, Phil Schiliro,...
Full Image
What if Snowe's idea is combined with Carper's state-by-state approach?

"Those are all elements that one could easily fashion into an outcome that would seem to be elegant," said economist Len Nichols of the New America Foundation. "It would show the left: 'Look we will be there when we're needed if coverage is not affordable.' And it would show the right that this not some backdoor government takeover, because we're only going where we're needed, either if the states decide or if conditions are such that competition is needed."

What to do about the public plan is the most politically sensitive issue on the agenda of Senate Majority Leader Harry Reid, D-Nev., as he sets out to merge the Finance bill with a Senate health committee version that does include a government option.

On Wednesday, top White House aides, including chief of staff Rahm Emanuel and Health Secretary Kathleen Sebelius, traveled to the Capitol to meet with Reid, Democratic Sen. Chris Dodd of Connecticut and Finance Committee Chairman Max Baucus, D-Mont., about combining the Finance bill with the Senate health panel measure.

Reid is giving no hints. Asked Wednesday if he thought it was likely there would be a public plan in his merged bill, he responded: "I'm not betting on health care. 'Likely' is in a game of craps."

(AP) Sen. Susan Collins, R-Maine, steps off an elevator as she arrives for a vote on Capitol Hill in...
Full Image
Republicans say the fix is in for a public plan. Behind the scenes, Democrats will take Baucus' middle-of-the-road plan and turn it hard to the left, they say.

"We know that the bill written behind closed doors here in the Capitol will be another 1,000-page, trillion-dollar Washington takeover," said Senate Republican leader Mitch McConnell of Kentucky.

Democrats did try one new tack Wednesday, on an issue involving doctors. Senate Democrats are now pushing for quick passage of separate legislation to spare doctors a $247 billion cut in Medicare fees over a decade. That would raise federal deficits, but the White House says the increase should not count in the price tag for the health care overhaul.

A senior Democratic aide said Reid is focused on what's politically achievable.

The public option is being assessed in terms of what it would mean for health care overall and, just as importantly, whether it can win approval, said the staff member, who spoke on condition of anonymity because of the sensitivity of the negotiations.

(AP) Sen. Olympia Snowe, R-Maine, followed by Sen. Jim Webb, D-Va., steps out of an elevator as she...
Full Image
A drawback of the Finance bill is that its 10-year, $829 billion budget wouldn't be enough to guarantee access to affordable health insurance for everyone. People with solid middle-class incomes who buy their own coverage would still have to pay hefty premiums - even after tax credits intended to help them out.

For example, a family of four making $66,000 a year and headed by a 45-year-old would face $11,080 in premiums. After a tax credit of $3,182, the family in the example would still have to come up with $7,898 - less than a mortgage but probably more than a year's car payment. The ballpark figures come from the Kaiser Foundation's Health Reform Subsidy Calculator.

Because there isn't enough money in the bill for everyone, the Congressional Budget Office projects the Finance bill would leave some 17 million citizens and lawful immigrants without coverage in 2019, when it's fully phased in.

The insurance industry study asserting that the Finance bill would raise premiums for everyone only added fuel to the fire. "The report says costs are going up - the best way to get costs down is the public option," said Schumer.

The heated rhetoric was evident Wednesday at a Senate Judiciary Committee hearing in which Reid and Schumer called for repealing the antitrust exemption for health insurers.

Support for a public option runs high in opinion surveys. But opposition from influential interest groups stands as a formidable barrier. It's not just the insurance industry, but many medical providers and businesses big and small.

One group, the National Federation of Independent Business, praised the Finance Committee for passing a bill with no government option and no requirement that employers offer coverage. But if Reid and the Democrats stick either of the two back in, "they will derail health care reform altogether," warned NFIB vice president Susan Eckerly.

NFIB, which represents small businesses, is well known in the health care debate. It was instrumental in killing then-President Bill Clinton's health care plan in the 1990s.

---

Associated Press Writers David Espo and Erica Werner contributed to this report.

(AP) Senate Minority Leader Mitch McConnell of Ky., center, accompanied by Sen. Jon Kyl, R-Ariz., left,...
Full Image
 
Google sponsored links
Kaiser Health Insurance - Low Cost Kaiser Health Insurance Free Instant Quote, Enroll Online!
www.eKaiserInsurance.com/CA
 
Blue Cross Blue Shield - Health insurance plans as low as $4/day. Call 1-866-779-8466 Free!
www.Vimo.com
 


Google sponsored links
 
Which plans to consider? - Expert support when choosing Implementation and ongoing support
www.artyounginsurance.com
 
Health Costs - Reduce Your Health Care Costs + Learn About New GE Technologies
www.Healthymagination.com
 
Kaiser Permanente - Free quotes. Apply and Save on health insurance coverage!
KaiserQuotes.com
 
 



 other congress news    

 Gov't insurance option isn't quietly fading away 
 House panel begins push on financial overhaul 
 House lets states get rid of Iran-linked funds 
 House passes bill to toughen pilot training rules 
 FACT CHECK: Health insurers cherry-pick facts 
 Senate Dems seek higher doctor payments 
 Pakistani official: US aid won't hurt sovereignty 
 THE INFLUENCE GAME: Health cry is tax them, not us 
 Democrats favor repealing exemption for insurers 
 Jury deadlocked in Abramoff-related trial 


  email this page to a friend


Copyright 2009 Associated Press. All right reserved. This material may not be published, broadcast, rewritten, or redistributed.


[ 打印 ]
[ 编辑 ]
[ 删除 ]
阅读 ()评论 (2)
评论
目前还没有任何评论
登录后才可评论.