Congressional budget analysts have given House leaders cost estimates for two competing versions of their plan to overhaul the health-care system, concluding that one comes within striking distance of the $900 billion limit set by President Obama and the other falls below it.
House leaders have been working to lower the cost of the $1.2 trillion health-care package they offered in July. The report from the Congressional Budget Office, a copy of which was obtained by The Washington Post, puts the cost of one plan at $859 billion over the next decade and the other at $905 billion.
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Both packages are based on the original House framework, which proposes to extend coverage to more than 30 million Americans by expanding Medicaid eligibility and subsidizing private insurance for people who lack access to affordable coverage through an employer. Each would expand the ranks of the insured to more than 95 percent of Americans by 2019, and each would create a government-run insurance plan to compete with private insurance companies.
As a refresher, the bill being considered in the House is a much better bill than what Finance passed on Tuesday. It has a public health insurance option, it asks employers to pitch in their fair share, it is fairly financed, and it has much more generous subsidies (read: tax credits) to make health care affordable for everyone.
So, why, with all that good stuff in there, does it look like the will CBO say the House bill still covers millions more people and costs just as much, while remaining deficit neutral? Because things like employer responsibility, fair financing, and the public health insurance option save money.
That’s right. The public option saves money. The CBO has said so before, and it looks like they’re saying it again.
Combine that with raising money by taxing households that make over $350,000 per year instead of the middle class, and asking employers to chip in for their employees health care, and you’ve suddenly got a lot more money to work with. Which means you can give middle class people more generous subsidies than the anemic Finance bill. Which means you and I won’t be on the hook for 16.5% of our income paid towards health care costs, the level a typical middle class family would have to pay under the Finance bill.
Plus, you get a bill that increases competition, keeps the insurance industry honest, and gets us out from under the insurance industry’s monopoly. Health Care for America Now released a TV ad promoting the public option today:
Here’s the bottom line: A good health care bill – fairly financed with a public health insurance option – is more fiscally responsible. Those that support being more fiscally responsible should support these ideas.
(also posted at the NOW! blog)
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10 Comments




So we have a $4t budget, and the “deficit hawks” are concerned about spending $30b extra per year, $300b over 10 years, on health care?
$30b is 0.75% of $4t.
What’s up with that math?
if it’s affordable for everyone why are millions left with no coverage?
also, premium costs are only a part of health care costs. what are the caps on out of pocket expenses?
thanks.
p.s. is this calculator from kff correct?: Health Reform Subsidy Calculator — Premium Assistance for Coverage in Exchanges/Gateways
OK, htis is my procedural ignorance showing…if the house bill is so good, why why why did we have to wait for the big bad baucus bullies to puke up a hairball?
I hope one of the congresscritters does a “whitehouse chart” using the graph from the NYT showing how much money Bush/Cheney poured down the drain compared to anything Obama is proposing (a drop in the big deficit bucket).
I believe that calculator is correct, yes. Of course, it doesn’t represent what the CBO just scored, because that hasn’t been released yet.
As for why it doesn’t cover everybody, a lot of it has to do with not covering any immigrants, which isn’t an affordability issue.
Each committee that has jurisdiction over health care has been working on a bill. The three in the House passed them a while ago, as did Kennedy’s HELP committee in the Senate. Baucus took his sweet time.
More on the procedure here:
http://healthcareforamericanow.org/site/content/steps_to_win/
1) are you sure it’s not any immigrants? or is it not any unauthorized immigrants?
2) also, according to the cbo, only half of the uninsured are non-residents. so what about the millions of residents who are left without coverage?
3) do you know the answer to my question @2 about limits to out of pocket expenses?
Not any unauthorized, but there’s also the 5 year waiting list for the authorized. If half of the uninsured (15 million) are non-residents, that would be 5% of the population almost exactly.
As for #2, yes, there are caps on out of pocket in all bills. HELP and House have similar caps. Here are reports on the HELP bill vs. the Finance bill in this regard:
http://healthcareforamericanow.org/site/content/kennedy_help_bill_more_affordable
1) cbo says 17 million in 10 years. but regardless, my question remains: if it’s affordable for everyone why are millions [of residents left with no coverage?
2) i read your link. either i’m blind or the out of pocket caps are not there.
Sorry, it’s in the footnotes. Here’s a betting link I’d say:
http://voices.washingtonpost.com/ezra-klein/2009/07/the_house_releases_its_health-.html
As for point 1, you don’t get 100% because you’re not covering 100% – undocumented aliens are left out. So health care would not be affordable to them, and thus they would not get coverage.