The roundtable guests this week are radio host Amy Goodman, Lt. Gov. of California Gavin Newsom and journalist Fareed Zakaria; author and former lobbyist Jack Abramoff and author Lizz Winstead are interview guests.
The FDL health care team has been covering the health care debate in congress since it began last year. They have put together a fact sheet to help readers sort through the myths and facts of the health care bill:
|1. This is a universal health care bill.
||The bill is neither universal health care nor universal health insurance.
Per the CBO:
|2. Insurance companies hate this bill
||This bill is almost identical to the plan written by AHIP, the insurance company trade association, in 2009. The original Senate Finance Committee bill was authored by a former Wellpoint VP. Since Congress released the first of its health care bills on October 30, 2009, health care stocks have risen 28.35%.|
|3. The bill will significantly bring down insurance premiums for most Americans.
||The bill will not bring down premiums significantly, and certainly not the $2,500/year that the President promised.
Annual premiums in 2016, status quo / with bill:
Small group market, single: $7,800 / $7,800
Small group market, family: $19,3oo / $19,200
Large Group market, single: $7,400 / $7,300
Large group market, family: $21,100 / $21,300
Individual market, single: $5,500 / $5,800*
Individual market, family: $13,100 / $15,200*
|4. The bill will make health care affordable for middle class Americans.
||The bill will impose a financial hardship on middle class Americans who will be forced to buy a product that they can’t afford to use.A family of four making $66,370 will be forced to pay $8,628 per year for insurance. After basic necessities, this leaves them with $8,307 in discretionary income — out of which they would have to cover clothing, credit card and other debt, child care and education costs, in addition to $5,882 in annual out-of-pocket medical expenses for which families will be responsible.|
|5. This plan is similar to the Massachusetts plan, which makes health care affordable.||Many Massachusetts residents forgo health care because they can’t afford it.A 2009 study by the state of Massachusetts found that:
|6. This bill provide health care to 31 million people who are currently uninsured.
||This bill will mandate that millions of people who are currently uninsured must purchase insurance from private companies, or the IRS will collect up to 2% of their annual income in penalties. Some will be assisted with government subsidies.|
|7. You can keep the insurance you have if you like it.||
The excise tax will result in employers switching to plans with higher co-pays and fewer covered services.
Older, less healthy employees with employer-based health care will be forced to pay much more in out-of-pocket expenses than they do now.
|8. The “excise tax” will encourage employers to reduce the scope of health care benefits, and they will pass the savings on to employees in the form of higher wages.||There is insufficient evidence that employers pass savings from reduced benefits on to employees.
|9. This bill employs nearly every cost control idea available to bring down costs.
||This bill does not bring down costs and leaves out nearly every key cost control measure, including:
|10. The bill will require big companies like WalMart to provide insurance for their employees||The bill was written so that most WalMart employees will qualify for subsidies, and taxpayers will pick up a large portion of the cost of their coverage.|
|11. The bill “bends the cost curve” on health care.
||The bill ignored proven ways to cut health care costs and still leaves 24 million people uninsured, all while slightly raising total annual costs by $234 million in 2019. “Bends the cost curve” is a misleading and trivial claim, as the US would still spend far more for care than other advanced countries.
In 2009, health care costs were 17.3% of GDP.
Annual cost of health care in 2019, status quo: $4,670.6 billion (20.8% of GDP)
Annual cost of health care in 2019, Senate bill: $4,693.5 billion (20.9% of GDP)
|12. The bill will provide immediate access to insurance for Americans who are uninsured because of a pre-existing condition.||Access to the “high risk pool” is limited and the pool is underfunded. It will cover few people, and will run out of money in 2011 or 2012Only those who have been uninsured for more than six months will qualify for the high risk pool. Only 0.7% of those without insurance now will get coverage, and the CMS report estimates it will run out of funding by 2011 or 2012.|
|13. The bill prohibits dropping people in individual plans from coverage when they get sick.||The bill does not empower a regulatory body to keep people from being dropped when they’re sick.There are already many states that have laws on the books prohibiting people from being dropped when they’re sick, but without an enforcement mechanism, there is little to hold the insurance companies in check.|
|14. The bill ensures consumers have access to an effective internal and external appeals process to challenge new insurance plan decisions.||The “internal appeals process” is in the hands of the insurance companies themselves, and the “external” one is up to each state.
Ensuring that consumers have access to “internal appeals” simply means the insurance companies have to review their own decisions. And it is the responsibility of each state to provide an “external appeals process,” as there is neither funding nor a regulatory mechanism for enforcement at the federal level.
|15. This bill will stop insurance companies from hiking rates 30%-40% per year.
||This bill does not limit insurance company rate hikes. Private insurers continue to be exempt from anti-trust laws, and are free to raise rates without fear of competition in many areas of the country.|
|16. When the bill passes, people will begin receiving benefits under this bill immediately
||Most provisions in this bill, such as an end to the ban on pre-existing conditions for adults, do not take effect until 2014. Six months from the date of passage, children could not be excluded from coverage due to pre-existing conditions, though insurance companies could charge more to cover them. Children would also be allowed to stay on their parents’ plans until age 26. There will be an elimination of lifetime coverage limits, a high risk pool for those who have been uninsured for more than 6 months, and community health centers will start receiving money.
|17. The bill creates a pathway for single payer.
||Bernie Sanders’ provision in the Senate bill does not start until 2017, and does not cover the Department of Labor, so no, it doesn’t create a pathway for single payer.
Obama told Dennis Kucinich that the Ohio Representative’s amendment is similar to Bernie Sanders’ provision in the Senate bill, and creates a pathway to single payer. Since the waiver does not start until 2017, and does not cover the Department of Labor, it is nearly impossible to see how it gets around the ERISA laws that stand in the way of any practical state single payer system.
|18 The bill will end medical bankruptcy and provide all Americans with peace of mind.
||Most people with medical bankruptcies already have insurance, and out-of-pocket expenses will continue to be a burden on the middle class.
*Cost of premiums goes up somewhat due to subsidies and mandates of better coverage. CBO assumes that cost of individual policies goes down 7-10%, and that people will buy more generous policies.
Last July, in response to a campaign we launched the month before, 65 members of Congress pledged to vote against any bill that does not have a public option. At the suggestion of Rep. Donna Edwards, online supporters raised $430,000 to thank them. Dennis Kucinich was one of those members of Congress.
July was also the month that President Obama made a “quid pro quo deal” with the hospitals to exclude the public option from a final health care bill. Miles Mogulescu reports that White House Deputy Chief of Staff Jim Messina confirmed the deal to David Kirkpatrick of the New York Times.
President Obama disingenuously confirmed his support for the public option in his September address to a joint session of Congress, but behind the scenes he was actively working to kill it. Continue reading Jane Hamsher: "Dennis Kucinich Will Return Money to Donors"
|By: Jane Hamsher Tuesday March 16, 2010 7:00 pm|
Kucinich told Obama that he wants a full ERISA waver and a public option in exchange for his vote. And if he actually gets an ERISA waver, it will be the biggest victory of the entire health care debate. As Jon Walker says, “ERISA is the 900 pound Gorilla that has fucked up America’s health care system something good.”
If on the other hand he settles for some worthless reassurances that “Obama will work toward it in the future” (which nobody but Lynn Woolsey is dumb enough to actually believe), or a meaningless symbolic vote that achieves little more than 15 minutes of futile grandstanding, good luck to him. A thousand people have donated over $16,000 to Dennis since yesterday to thank him for standing up for what he believes in. We’ll be asking him to return it.