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Economy |
How to Make Health-Care Reform Bipartisan |
2009-07-22 |
In Washington, it seems history always repeats itself. That's what's happening now with health-care reform. This is an unfortunate turn of events for Americans who are legitimately concerned about the skyrocketing cost of a basic human need. In 1993 and 1994, Hillary Clinton's health-care reform proposal failed because it was concocted in secret without the guiding hand of public consensus-building, and because it was a philosophical over-reach. Today President Barack Obama is repeating these mistakes. The reason is plain: The left in Washington has concluded that honesty will not yield its desired policy result. So it resorts to a fundamentally dishonest approach to reform. I say this because the marketing of the Democrats' plans as presented in the House of Representatives and endorsed heartily by President Obama rests on three falsehoods. First, Mr. Obama doggedly promises that if you like your (private) health-care coverage now, you can keep it. That promise is hollow, because the Democrats' reforms are designed to push an ever-increasing number of Americans into a government-run health-care plan. If a so-called public option is part of health-care reform, the Lewin Group study estimates over 100 million Americans may leave private plans for government-run health care. Any government plan will benefit from taxpayer subsidies and be able to operate at a financial loss--competing unfairly in the marketplace until private plans are driven out of business. The government plan will become so large that it will set, rather than negotiate, prices. This will inevitably lead to monopoly, with a resulting threat to the quality of our health care. Second, the Democrats disingenuously argue their reforms will not diminish the quality of our health care even as government involvement in the delivery of that health care increases massively. For all of us who have seen the Federal Emergency Management Agency's response to hurricanes, this contention is laughable on its face. When government bureaucracies drive the delivery of services--in this case inserting themselves between health-care providers and their patients--quality degradation will surely come. House Democrats seem willing to accept that problem to achieve their philosophical aim--the long-term removal of for-profit entities from the health-care landscape. Third, Mr. Obama's rhetoric paints a picture of a massive new benefit that will actually cost average Americans less than what they pay today. The Democrats want middle-class taxpayers to believe they won't feel the pinch of this initiative, even as their employers are assessed massive new taxes. They might as well try to argue that up is down. The analysis of the Democrats' proposal by the Congressional Budget Office shows that it will not reduce government spending on health care, and that it will substantially increase the federal deficit--and this despite all the tax increases. I served in the U.S. House with a majority of the current 435 representatives, and I am confident that if given the proper amount of legislative review, they will not accept the flawed Pelosi plan that is currently stuck in committee. Yet there is general agreement among Republicans and Democrats that we need health-care reform to bring costs down. This agreement can be the basis of a genuine, bipartisan reform, once the current over-reach by Mr. Obama and Mrs. Pelosi fails. Leaders of both parties can then come together behind health-care reform that stresses these seven principles:
These steps would bring down health-care costs. They would not bankrupt our nation or increase taxes in the midst of a recession. They are achievable reforms with bipartisan consensus and public support. All they require is a willingness by the president to slow down and have an honest discussion with Americans about the real downstream consequences of his ideas. Let's start there. |
Posted by:Beavis |
#4 There is no magic formula to make top quality health care available to everyone. The one thing that is certain is that any attempt by government to create one such magic formula is doomed to fail. If they are really serious in improving health care they will cut the elephant up into chewable - and understandable - bites. Some bite-sized pieces I would suggest would include: 1) Price transparency - the buyer should be able to know ahead of time what the price would be and be able to compare prices. 2) (More) local 'store-front' clinics offering basic services for basic prices (and I'll even subsidize as long as there is some co-pay.) And have them substitute for expensive Emergency Rooms for Emergency Room triage. 3) Increase the supply of medical products and services, especially at the low end. Maybe de-monopolize accreditation and certification. Offer more strings-attached scholarships. 4) Prohibit conflict-of-interest ownerships and partnerships between labs, hospitals and doctors. 5) Malpractice reform. |
Posted by: Glenmore 2009-07-22 20:24 |
#3 Obama won't touch this with a ten inch pole. |
Posted by: Black Bart Ebberens7700 2009-07-22 15:22 |
#2 Simple: Americans have an option: take what your employer gives you or else elect to take the same policy that Congress grants itself. |
Posted by: OldSpook 2009-07-22 15:21 |
#1 This article does not mention the unmet prior commitments by the gov't to financing health care for some beneficiaries. Fundamental reforms necessary before the gov't bites off yet more than it can chew: (1) stabilize Medicare financing for the next 20 years (2) adequately fund & support the Indian Health Service (3) odds & ends such as replacing the VA hospital at New Orleans, closed & forgotten since 2005. I'm sure there are many other neglected reforms. |
Posted by: Anguper Hupomosing9418 2009-07-22 13:53 |