Canada

Massive takedown from Charlie Pierce on health insurance reform

I'll just quote Riggsveda:

The Final Word on Health Care Reform

Charles Pierce at Altercation sums it up so perfectly it needs nothing more than a blockquote:

I'm sorry but while both Ezra KLEIN and Jon COHN have done great work on this issue, they are talking here about a country and a political system that no longer exist. And their responses to Marcia Angell's CRI DE COEUR are largely political, and not really to the point of her piece, which is that no substantive reform of the system is possible until the control that the insurance industry exercises over the practice of medicine is broken forever. The now-familiar argument is that the House bill--even if it had a snowball's chance in hell of surviving the Senate intact, which it doesn't--represents a good first step. When exactly was the last time our political system--to say nothing of the Congress--did anything in "steps"? We don't progress. We move a step ahead, and then there's an election, and then we move another ste

Some Basic Info on CBO Scoring of Healthcare Bills

Via ThinkProgress, both the Baucus Bill and the plan put forward by Pelosi will enroll some more people but most will not be in the Public Option and it will not cover everyone:

CBO: Public Option To Attract Only 6 Million Enrollees & Doesn’t Offer Lower Premiums

The public option would attract about 6 million enrollees by 2019 and charge premiums that are “somewhat higher than the average premiums for the private plans in the exchanges.” This is because the public option would “engage in less management of utilization” by its enrollees and “attract a less healthy pool of enrollees,” the office concludes. Moreover, since the House bill expands Medicaid up to 150% of the federal poverty line, it’s possible that the enrollees that would have enrolled in the public option went into Medicaid instead.

Below is a comparison of the relevant provisions in the House and Senate Finance Committee legislation:

  CBO Score Of House Bill CBO Score Of Baucus Bill
Costs Reduce deficits: $104B/10yrs
Cost: $894B/10yrs
Spends on subsidies: $605B/10yrs
On Medicaid/CHIP: $425B/10yrs
On Small Employer Credit: $25B/10yrs
Reduce deficits: $81B/10yrs
Cost: $829B/10yrs
Spends on subsidies: $461B/10yrs
On Medicaid/CHIP: $345B/10yrs
On Small Employer Credit: $23B/10yrs
Insured Uninsured reduced by: 36M
Uninsured in 2019: 18M
In Exchanges: 30M | Public Plan: 6M
In Medicaid: 15M
Uninsured reduced by: 29M
Uninsured in 2019: 25M
In Exchanges: 23M
In Medicaid: 14M
Revenue Mandate penalty: $33B/10yrs
Pay-Play penalty: $135B/10yrs
New taxes: $572B/10yrs
Mandate penalty: $4B/10yrs
Free rider penalty: $23B/10yrs
New taxes: $196B/10yrs
Medicare
and
Medicaid
Total savings: 426B/10yrs
Medicare Advantage: $170B/10yrs
Total savings: 404B/10yrs
Medicare Advantage: $117B/10yrs

With a Single Payer solution it would be everybody in and nobody out - AND it would save a heck of a lot more money for everyone.

The difference is not just everyone being covered but HUNDREDS of BILLIONS of DOLLARS saved every year:   Read more…

CMS: HR 3200 will bend the cost curve... upward


[chart stolen adapted from the incomparable Ian Welsh]

You've read/heard the phrase bending the [cost] curve [downward] once or twice by now, and in case you've been a tad confused [or not] about what that means, basically it's what Canada did in 1970 when single payer went completely nationwide there.

What Would Gandhi Tell President Obama?

Photobucket

Even teh google has noticed that this is the birthday of Mohandas K. Gandhi.

An Indian friend of mine who lives in Canada posted this at FDL, as a diary.

What Would Gandhi Tell President Obama ?

This sentence resonated:

The idea of non- violence is misunderstood. It is not the same as being a slave, in order to maintain a climate of peace.