With the introduction of the House bill on health care reform on earlier today, announcing that a public option was included, you would think Americans should be elated. Now we are going to get choice and competition so that every single American can access and afford health care. Health care as a right has finally arrived. But – - – hold on horsey. With its 1,990 page tome (my computer “crashed and burned” trying to open the document let alone trying to print it out), the House has sold the concept of health care for all down the river. Let me explain.
Because it won’t take effect until 2013, the bill allows insurance companies to undertake a strategy one of my colleagues now calls “preemptive gouging”. Before such a plan takes effect, the insurance industry will jack up rates and premium costs in order to recoup revenues that may be lost from the day the legislation takes effect. But 36 months seems like a good period to nail all Americans with unimaginable rate hikes. If you don’t believe me, open your mail this Fall to find your annual health insurance renewal notice. Another of my colleagues, a highly successful Chicagoland area small business owner in the catering business with 12 employees just received a 47% increase in premiums over last year. Yes, you are reading me right – - – a 47% rate hike! And when he did further investigating how he could lower his premium, he was told – - – go hire younger and healthier workers. What bunk. We must now DEMAND THAT ANY HEALTH CARE REFORM INCLUDES IN IT LANGUAGE THAT BARS INSURANCE COMPANIES FROM PREEMPTIVE GOUGING.
Next, the new house bill mandates coverage for 30+ million more Americans. Hooray, right? Nope. Insurance executives must be licking their chops, knowing that they will insure millions more Americans, and, with them, collecting millions (billions?) more in premium revenues.
The type of public option created is one where rates will be negotiated, just like in the private markets. This option will cost $85 billion more than what had been seen as the most cost effective plan in either Congressional chamber, a Medicare reimbursement schedule + 5%. So, will we have true choice and competition that drives down the cost of premiums? No way.
What about the new insurance regulations, like no more worry over pre-existing conditions to bar coverage? Great news, huh? Wrong again, at least in the near term. You see, it is one of the pieces of the House plan that doesn’t take effect until 2013?
The House bill includes lifting the antitrust exemption, but with the public option looking just like a private market offering, lifting this exemption will have the look of Swiss cheese- – - – full of holes.
And, just how many millions of Americans can get coverage if they are not satisfied with what they have got. Even though there will be an insurance exchange mechanism, not as many as you think.
In the end, we Americans have, at least to date, been snookered. Maybe you like the word, “hoodwinked”. Particularly for those of us who thought Obama was a change maker. (Speaking of Obama, where has he been up to now)? Whatever adjective you would like to use, what has come out of the House isn’t health care reform but the insurance industry full employment act. With health care, however, it can no longer be business as usual where big business buys and sells politicians. Remember the movie, “Network”, where the memorable line was, “I’m mad as hell and I am not going to take this any longer”. Well, to all those reading this post, if you are not mad as hell by now with what came out from the House today, you damn well should be; for starters, start flooding your representatives with calls telling them to do the people’s business of ensuring health care for all immediately upon passage of any legislation into law; and to not do the business of corporations – - – making money regardless of whether or not all citizens can afford and access quality health care.