Let me tell you about this TERRIBLE bill so that you can hate it along with me.
1. The bill REQUIRES individuals to buy Health Insurance from EVIL insurance companies!
2. The bill REQUIRES employers to give their employees Health Insurance! Interferes with our freedoms!
3. The bill BANS insurance companies from denying medical coverage for Pre-existing Conditions! Interferes with our freedoms!
4. The bill CREATES State-Based exchanges through which the unemployed can buy Health Care! GOVERNMENT RUN HEALTH CARE!!
5. The bill CREATES long term care insurance! DEATH PANELS!
6. The bill offers SUBSIDIES for the poor to buy Health Care! Stealing our tax money!!
7. The bill sets up STANDARDIZED insurance packages! SOCIALISM! Making everyone the SAME!!!
8. The bill BANS insurance companies from canceling coverage! Tyrannical interferences in our freedoms! How dare they!!
9. The bill makes high end insurance MORE EXPENSIVE! Making us lose our insurance!!
10. The bill REDUCES growth in medicare spending!! MEDICARE CUTS!! KILLING OLD PEOPLE!!!
11. The bill ensures that 92-94% of Americans have Health Care coverage in 15 years!! COMMUNISM! People getting a free lunch!! UN-AMERICAN!!!
WHO IN THEIR RIGHT MIND WOULD PROPOSE SUCH A CRAZY HORRIBLE HEALTH CARE BILL!!!
There. Got that good scream out of your system? Alright, let’s calm down a bit. Who proposed this bill, I asked? Actually there are two answers to my question.
The first answer is:
The Republicans in Congress in 1993.
It was called the Chafee Bill, sponsored by Republican Senator John Chafee of Rhode Island. The full name was the Health Equity and Access Reform Today Act of 1993. The bill had 21 cosponsors 19 of which were Republican and 2 Democrats.
Basically this was the Republican alternative plan. Proposed because the Clinton plan of the era was deemed too liberal. That’s the plan people call HillaryCare because a task force lead by Hilary Clinton studied the problems of Health Care at the time and came up with the proposals that became the core of the plan. Republicans threw a fit and called HillaryCare a government take over of Health Care! So when asked what their alternative was, the above bill was what they came up with.
To be fair there are a couple of other components to this bill, most notably tort reform. It also had a provision that equalizes tax treatment for insurance for the self-employed. But the core of the bill was as I outlined above.
FAST FORWARD.
Today there is a second answer.
The Democrat’s Health Care Reform Plans of 2009 and 2010.
There are currently three Health Care Reform plans on the Democrats side. The House Plan, the Senate Plan, and the Obama Proposal which was released on February 22,2010 to merge the differences between the two. All three have all of the components I listed above that the 1993 Republican Health Care plan had with the exception that House Plan doesn’t have State based exchanges but a National exchange and the House plan doesn’t have an excise tax and so has no mechanism to make expensive health care plans more expensive in order to encourage insurers to provide cheaper plans.
The only other major elements of the three Democrat plans not in the 1993 Republican proposal are:
-expansion of Medicaid
-support for Community Health Centers
-allowing dependents to stay on their parents coverage until age 26
-prohibition on Insurance companies setting life time limits (to fair this probably wasn’t common practice in 1993).
- a Public Option (ONLY present in the House Bill)
- tax on the top earners in the country to help pay for it (ONLY present in the House Bill)
Of course what this shows is that all of this is just plain absurd..
The democrats came to the table with a republican Health Care plan. From the start it was republican at its core. 11 of its most important components were straight out of an existing republican plan.
Actually it’s even worse than that because there are other key republican demands that were incorporated into the bills as well such as:
- No coverage or subsidies for anyone in the United States illegally.
- No coverage for abortions. In fact anti-abortion language so severe that abortion rights groups say will roll back abortion coverage throughout the country and be the biggest setback to abortion rights since Roe v Wade.
And there are lots of little aspects of these bills that were weakened to make the bill more republican friendly. For example the employer mandate was made weaker so that it wouldn’t be too big of a burden on major employers. And the bills are so deficit shy that the CBO projects they will reduce the deficit by $100-132 billion over ten years. When has fear of deficit spending ever been a core Democratic principal? Not to mention how many steps removed the bills are from any of the things democrats give lip service to wanting such as Single Payer, Medicare expansion (to lower age qualification), drug price negotiation, etc.
By the definitions of 1993 surely any of these bills would be considered very conservative. At the bare minimum the Senate bill would have to be considered a conservative bill. It has no public option, and less subsidies and less medicaid expansion. Recall, the 1993 bill with all of the above was the alternative to that crazy liberal HillaryCare that was going to destroy our country!
But then guess what the Republicans say today? They say that that Republican plan, by virtue of it being proposed by Democrats, must ALSO BE TOO LIBERAL!!! It’s a PLAN TO TAKE OVER OUR HEALTH CARE, KILL YOUR GRANDPARENTS, AND DESTROY THE COUNTRY!!!
What about all those Republican components? Ohh they must be tricking us! Look how LONG the bill is! There must be evil scary stuff in there somewhere!!! Democrats are basically Nazis so it can’t be good.
And what do the Republicans propose today? Why an even more right wing plan of course. Their current plan was proposed by republican Rep. Boehner:
- Doesn’t require individuals to buy their own insurance
- Doesn’t require employers to cover their employees
- Doesn’t ban pre-existing conditions exclusions
- Doesn’t create any kind of exchanges to increase competition or reduce cost
- Doesn’t provide long term care insurance
- Doesn’t provide ANY subsidies for the poor to help them purchase insurance
- Doesn’t setup standardized insurance packages
- Doesn’t do anything to control the costs of expensive insurance plans
- Doesn’t reduce the growth of medicare spending
- Doesn’t increase overall number of people covered by insurance in any appreciable way
- Doesn’t equalize tax treatment for the self-employed
- Doesn’t expand medicaid coverage
- Doesn’t include support for Community Health Centers
- Doesn’t have a Public Option to compete with private insurers and keep them honest
- Doesn’t reduce the deficit by as much as the Democratic plan ($68 billion vs $132 billion over ten years)
In effect the current Republican bill does almost NOTHING. The whole point of the bill is to not do anything that any of the other bills anyone has ever proposed for fixing Health Care do. Why? Because republicans have spent the past year saying the American Health Care system is absolutely fine and vilifying any and all serious proposals to do anything to make it better.
The one and only big exception is Tort Reform, but given all the rest I have to wonder if a strong tort reform package had been in the Democratic bill from the beginning, would the republican bill have still supported it? I bet it wouldn’t. You can’t oppose something and then propose the same thing.
Most of the information in this entry comes from the chart here: http://www.kaiserhealthnews.org/Graphics/2010/022310-Bill-comparison.aspx
There’s lots of useful information on that site which you can read to get a complete understanding of what the actual health care bills say and do.
Be warned though. You might find a lot of this to be very depressing.
Really reading about this stuff is why people find politics so discouraging. So many people are being so utterly disingenuous all the time. Democrats say they support liberal, left-wing ideas but then when it comes time to support a plan, what they support looks just like what Republicans said in the past they would support. So do they support the things they claimed they wanted like, for example, a public option or not? Republicans then claim that said republican-esque plan is itself way too liberal claiming it’s a great big government take over even though they themselves supported much the same not too long ago. So from the honest observer perspective it seems like nobody is expressing their actual views at all. Everybody is lying in order to win the political game rather than focusing on the problems of real Americans. Either that or, as some have proposed, they have other ulterior motives that are directly aligned contrary to the people’s interests such as serving their campaign donors and supporters.
I can’t really say for sure whether any of the Health Care Reform bills are that good or bad for the country or are worth implementing. Nobody can. I do believe from what I’ve read that all of them would do some good and are significantly better than doing nothing at all. Even the 2009 Republican bill which I think does almost nothing is still better than doing nothing. That’s how bad I think our health care system is today and will become in the near future if we keep the status quo.
One thing though you can say for certain is that if you’re complaining about these bills because they are way too radically liberal (beyond anything we’ve ever seen in this country!) then you’re just full of shit. These bills are just barely to the left of the Republicans in congress in 1993 and that makes them significantly to the right of Bill Clinton who was at the time considered a centrist democrat. By any reasonable measure the democratic proposals today are Center-Right Health Care bills. Nobody is even considering a centrist or a left-wing Health Care bill.
And that fact, I believe, is the saddest fact of all.