| It's always a bad sign when no one is talking details. I've read everything I can find, and there is a lot of contradiction. Still, I've been able to cobble together some amount of consensus about what will be in the bill. Everything is contingent on the CBO score.
And as an aside, no one has yet been able to explain to me why we need a CBO score for this, and not one for Afghanistan. Face it, if we brought the troops home from both Iraq and Afghanistan today, we'd have the money to fund health care for everyone. So, here are the points people seem to agree on about the bill: - The Franken amendment requiring insurance companies to use 90% of premiums for actual health care is in.
- Starting in 2011, people ages 55 - 64 can buy into Medicare with no offset.
That's the good news, such as it is. Basically, it looks like the public option is dead. The Democratic politicians will all be saying that this is a good piece of legislation because it will insure more people. It is watered down enough so that anyone could actually vote for it. It is a great win for the insurance companies. They're talking about some form of privately-run option similar to the program that civilian Federal employees get. Triggered, of course. Here's what they're NOT telling you: Without underwrites, the Medicare and private-exchange are no more affordable than they are now. The program civilian Federal employees access is administered by Blue Cross/Blue Shield as a non-profit, but the government pays the lion's share of the premium for employees (yes! using YOUR tax dollars!). Medicare premiums for those over 65, on disability, and their dependents are likewise offset with tax dollars. Therefore, if you can't afford it now, you won't be able to afford it later. In addition, Medicare won't be available to anyone between 55 and 64, only those who can't get insurance elsewhere. Think about it for a minute - wasn't one of the original proposals in all the bills the idea that insurance companies wouldn't be allowed to deny coverage? Does anyone else see a disconnect here? And about the Franken amendment? Without the "conscience" of a public option, it will lead to increased insurance rates on the part of private insurance companies. If you think the insurers will give up their profit dollars without finding some way to recoup them, you haven't been paying attention. My favourite end quote of anything I read: Of course, negotiations are still on going, and the details are very much in flux. It is, in theory, possible that the eventual result will not be something so terrible. But the way it looks now, if this new, new “grand compromise” even resembles the current rumors, it will be a great big nothing. Everyday, it gets more and more clear that the only way to pass real health care reform is with reconciliation or the nuclear option. There simply are not 60 senators who would rather help regular Americans instead of bailing out the health insurance industry.
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