Blog Watch

Posts Tagged ‘subsidies’

Senate CBO Score Expected This Afternoon

http://www.kaiserhealthnews.org/Cartoons/Senate.aspx

Citizens of the blogosphere are twiddling  their  thumbs waiting for the Congressional Budget Office to release a final score of the Senate health overhaul bill, which many expect when Majority Leader Reid meets with the Democratic Caucus at 5 p.m. today.  In the meantime, many can’t resist guessing the outcome.

Perhaps in preparation for today’s release, Former Speaker Newt Gingrich, R-Ga., sent a letter to Speaker Pelosi, Majority Leader Reid and President Obama. Gingrich and his 50 cosigners ask the Democratic leaders to “slow down…open up…don’t break the bank.” Critical Condition’s Tevi Troy has the letter (pdf), saying “it’s worth a read.”

The Washington Post’s Ezra Klein says, contrary to claims from some Republicans that they will repeal a health reform bill if elected in 2012, “There’s just not much precedent for changes in partisan power ending in the repeal of large pieces of recently passed legislation. In part, that’s due to the nature of the Senate: Repeal requires 60 votes as surely as passage.”

Wonk Room’s Igor Volksy (who includes a shot of Reid praying) rounds up the latest rumors on how the Senate may rush to pass the bill:

Democrats are also indicating that they may “short-circuit the legislative process” to pass health care reform by December 18th, the last day Congress is in session. “The most talked about method is end running the formal conference committee process in favor of some sort of mini-conference. Democratic officials in the White House and Congress are envisioning an end game similar to the way the $787 billion stimulus package came together with congressional leaders and White House aides hashing out the differences behind closed doors.”

The New Republic’s Suzy Khimm reports on another piece of the soon-to-come bill.  According to Khimm, “Amid all the concern about subsidy levels in health care reform comes word that Senate Majority Leader Harry Reid is, in fact, going to boost the financial assistance available to Americans buying health insurance. The problem? It’s not the group who needs help the most–and it may come at the expense of those who do.”  Reid is expected to lower the maximum percent of income for middle-income earners and raises the percent of income spent on insurance for low-income earners.

Commentators on the right are likely to have their frustration piqued even more — Heritage’s Brian Darling explains objections to even beginning debate:  “The bottom line is that Senators will be voting to proceed to a bill on Friday that they have yet to see and will have little time to read before the first critical vote. Sadly, the secretive procedure used to roll out this legislation has severely restricted the rights of Americans to participate in this process.”

And in other news, Conservative columnist Ross Douthat uses his new blog on the New York Times’ site (where his column runs) to put in his two cents on the health bills: “That means that 10 years and hundreds of billions into health care reform, two-thirds of the uninsured will have coverage — but the remainder, 18 million strong, will be paying more and getting exactly nothing in return. We’ll be effectively taxing a third of the uninsured to cover the rest. Liberals, of course, will say this just proves that we just need to spend billions more on subsidies. But I say that it makes Tyler Cowen’s alternative approach seem vastly more attractive.”

Wednesday, November 18th, 2009

Division Continues Over Stupak Abortion Amendment

Bloggers continue to mull over the abortion amendment to the House bill – which the The Daily Beast’s Dana Goldstein calls “the wedge dividing Obama’s health coalition.” 

politifactPolitiFact.com rates Rep. Nita Lowey’s statement that the Stupak amendment “puts new restrictions on women’s access to abortion coverage in the private health insurance market even when they would pay premiums with their own money,”  calling it “false.” According to PolitiFact, “There’s plenty of room for debate about how the Stupak-Pitts amendment will eventually shape the availability of abortion coverage. But Lowey is wrong on two points.”

Cato’s Michael Cannon says government subsides of health care cause the underlying dilemma:

Either those taxpayer dollars will fund abortions, or the restrictions necessary to prevent taxpayer funding will curtail access to private abortion coverage. There is no middle ground.

Thus both sides’ fears are justified. Both sides of the abortion debate are learning why government should not subsidize health care. Tip of the hat to President Obama for creating this teachable moment.

The American Spectator’s Philip Klein agrees: “The only reason the Stupak-Pitts amendment would apply restrictions to the private market is that the government would be drastically expanding its role in the private market as a result of the health care legislation.”

The Plum Line’s Greg Sargent reports that Rep. Jan Schakowsky is the first lawmaker to publicly state she’ll vote “no” against a final health overhaul bill containing Stupak’s abortion language.

Schakowsky isn’t the only one that is withdrawing support. The Washington Post’s Ezra Klein responds to the New England Journal of Medicine’s Marcia Angell who calls the House bill “worse than nothing.”  Klein strongly disagrees: “Failure does not breed success. Obama’s defeat will not mean that more ambitious reforms have ‘a better chance of trying again.’ It will mean that less ambitious reformers have a better chance of trying next time.”

The New Republic’s Jonathan Cohn counters Angell as well as statements from other fellow liberals, saying:

As I’ve argued repeatedly, the House bill is not close to perfect. Neither is its Senate counterpart. But we don’t pass perfect laws in the U.S. We pass imperfect ones and then do our very best to improve them over time.

It happened that way with Social Security and Medicare. It can happen that way with comprehensive health care reform, too. But only if we do something, rather than nothing.

Tuesday, November 10th, 2009

More to life than the public plan

Today bloggers are turning to amendments offered to the Senate Finance Commitee other than Tuesday’s failed public option submissions.

Paul Testa of the New Health Dialogue pulled key words from the Democratic and Republican senators’ opening statements made during last week’s markup hearings. According to the word clouds, “health” and “insurance” were the most common ones used by both parties. Those spectators of those opening festivities often noted the differing tone between the parties, which is not borne out by this comparison.
Dems:

Reps:

But onto the amendments.

Time’s Karen Tumulty reports that Olympia Snowe may decide to withdraw her much-anticipated amendment to create a “trigger” for a public option, and instead “offer it when the bill reaches the Senate floor.”

Critical Condition’s John Hood, referring to the defeat of a public plan option in the Senate Finance bill, says, “winning that one battle won’t win the war.”  He continues:

It is critically important that we all understand what will happen if a Baucus-type bill passes even without a government-run plan or government-sponsored cooperatives. Once the federal government enacts a mandate that businesses or individuals purchase government-approved health insurance — along with new regulations that essentially abolish real insurance in favor of mandatory, prepaid health care for all comers — the resulting political dynamic will lead inevitably to the unraveling of the private market and a government takeover in the future.

Anthony Wright of the Health Access Blog examines what he calls “the other big debate in the Senate Finance Committee.” This battle was focused on amendments regarding whether a minimum actuarial value standard should be set for plans offered through the health insurance exchange.

The Washington Post’s Ezra Klein reports that an amendment from Orrin Hatch that would require women to purchase separate insurance to cover abortions was rejected.

Philip Klein of the American Spectator blog says commitee members voted down an amendment from John Ensign that would have exempted middle-class families from paying a penalty for not purchasing health insurance.

Wonk Room’s Igor Volksy relays debate between Chuck Grassley and Jeff Bingaman over whether to require people applying for Medicaid to show a photo ID.

To round out your afternoon, a group called PSAmockery spoofed a video that’s been making the rounds that featured celebrities mocking insurance company executives.  The new “spoof of a spoof”  is matched almost shot-by-shot to the former video, but the message has changed: “Something terrible is happening… Overpaid celebrities don’t have a big enough voice when it comes to health care reform.” (Via Hot Air)

Thursday, October 1st, 2009

The Tweetest Things

From this morning’s Politico front page: “Revenge is Tweet” — Kenneth Vogel reports on a new study that found almost twice as many Republican lawmakers have Twitter accounts compared to Democrats. Politico takes a closer look at some of the leading “tweeters”: Sen. John McCain, R-Ariz., Sen. Chuck Grassley, R-Iowa and Sen. Jim DeMint, R-S.C.  

Validating Politico’s premise, a look at some tweets from yesterday’s Finance Committee markup: Republican John Cornyn tweeted “That was then, this is now, ” linking to a CBS News piece on “Five Health Care Promises Obama Won’t Keep”.  And Grassley weighed in this morning (during the Finance markup) in his famous disjointed abbreviations: “If u hv time watch Finance Comm during amending process of Health Care. Affects 1/6th economy and evry American. Big lift for Congress.”  The only Democrat who weighed in, Sen. Bob Menedez, just posted pictures of the markup scene.

Quick Hits:

  • CBO chief Douglas Elmendorf doles out the agency’s judgment on the original subsidies to purchase health insurance in the Finance bill. 
  • The Kaiser Family Foundation has a new ’subsidy calculator’ that estimates premiums and government assistance under the various reform proposals. (KHN is a project of the Foundation.)
  • FiveThirtyEight.com’s Nate Silver examines poll numbers and asks if being part of the “Gang of Six” contributes to declining approval ratings. 
  • James Capretta on the New Atlantis proclaims the “Death of Medicare Reform.”
  • The New Republic’s Jonathan Chait wonders if Republicans are committing “a long-term policy blunder” in their opposition to health reform.
  • CyberspacesTV won 2nd place in a video contest from the Galen Institute, which promotes free-market ideas in health policy, that looks at cancer survival rates and wait times in Canada and the United Kingdom.

Wednesday, September 23rd, 2009

Last Words Before Finance Cmte Speaks

Eyes are on the Senate Finance Committee this morning as Chairman Max Baucus, D-Mont., prepares to release the group’s long-awaited health overhaul bill. It’s the last bill to be released of the five House and Senate committees with jurisdiction over health, but it could be one more day yet: Politico’s Carrie Budoff Brown reports that tomorrow is likely to be the big day because a 5 p.m. Tuesday call with governors could delay its unveiling.

John Goodman takes a look at the framework of the bill released last week and concludes it’s “a tax-hiking helping of previously discredited, warmed over ideas. Its 18 pages contain precisely one very good idea: Allow states to form one or more compacts to facilitate the interstate sale of health insurance.”

Wonk Room’s Igor Volsky zeroes in on the bill’s Medicaid expansion following Baucus’ comment the provision under his bill will cost less for states  than other proposed legislation.  Baucus said: “states are going to be pleasantly surprised. There is going to be some additional cost but much less than they originally expected.”  Volsky created a table to illustrate differences between Medicaid provisions in the House Tri-Committee bill and Baucus’ framework.

Subsidies to purchase health insurance are another key component of Baucus’ framework still under negotiation.  The New Republic’s Jonathan Cohn returns to subject and to ask  if the subsidies will be enough: “The bottom line here depends, in part, on which people you consider–in particular, whether you’re looking at the poor or middle class, and whether you’re looking at the relatively sick or the relatively healthy.”  According to Cohn, it’s unclear how families with major health expenses would fare, in part because, “The committee analysis (and mine) includes a ton of assumptions–chief among them, that the families are buying the ’silver’ option, the benchmark plan on which federal subsidies are based.”

The Washington Post’s Ezra Klein jumps off Cohn’s post to argue, “But it’s worth comparing this with a national system like that in Canada or Britain or France, or even the national system that our own seniors enjoy: In those cases, an awful illness stands no chance of bankrupting a family or consuming 30 percent of its income. The reforms under consideration make our system somewhat better. Maybe even a lot better. But they don’t make it good enough.”

Meanwhile, over in the other chamber of the legislative branch, the House Education and Labor Committee posted an interactive graphic that seeks to explain how health reform would work:
(Via Maggie Mahar.)

However, James Capretta on Critical Condition thinks the House bill, explained above, is “dead” following Obama’s comment that he would oppose any bill that added “one dime” to the budget deficit. Capretta critiques two approaches on the table — a tax on health insurance premiums over a certain dollar amount and a “trigger” provision to delay implementaton of a public plan option.

And Heritage’s Conn Carroll is looking past legislative details and onto the rest of the legislative schedule:

The name of the game is “keepaway.” Keep Congress in Washington and away from the folks back home. It’s a key strategy for Congress’ liberal leadership, which has announced the new fall schedule for meetings and votes on Capitol Hill. The original official plan was to adjourn by Oct. 30. Now the target is Thanksgiving but the expectation is Christmas, with maybe a one-week break somewhere along the way.

By keeping Congress in session and away from angry voters, leaders like Speaker Nancy Pelosi hope to plead, pressure and cajole enough votes to enact a massive health care bill. There’s less competition and interference from everyday people when elected officials are in Fortress Washington.

Tuesday, September 15th, 2009