If current health care bills get derailed--

[eridani]

If nothing passes, the Dems can correctly blame Republican obstructionism. The only incremental approach acceptable to me is allowing voluntary enrollment in Medicare, which could be implemented right away. This ought to be a slam dunk, given that Medicare is so popular that even elderly teabaggers don't want reformers messing with it.

www.michaelmunk.com
Is There Any Way Out for Obama?
By Leonard Rodberg , Chair, Urban Studies Department, Queens College/CUNY
VIA David Delk <davidafd {at} msn.com>

Progressives worry that, if Obama’s health reform plan (hereafter called the “Plan”) fails to pass, a latter-day right-wing Gingrich movement will take over the Congress in 2010 and the White House in 2012. What I have not heard, but what I am increasingly coming to believe, is that, if the Plan passes in any of its current forms, things will go just as badly for him! Why is that?

The general reason is that the Plan is a DOG. It is a terrible, complex plan that will accomplish almost nothing. Relatively few people will benefit from it, while everyone who has to use health care will continue to experience the mess that is, and will continue to be, the American health care system. And, because of the new requirements built into the Plan, health care finance will become even more complex and confusing.

More specifically:

1. The large majority of people, who receive their insurance from their employer, will see no benefit whatsoever from the Plan. Most will, in fact, find their premiums rising as new requirements imposed by the Plan (e.g., the elimination of lifetime limits) raise the cost of insurance. And, of course, to their undoubted surprise, most of them will not have access to the public option, even if there is one.

2. Most provisions of the Plan will not become effective until 2013. This gives four years for Republicans to criticize the Plan, including (1) its use of cuts in Medicare reimbursements and Medicare Advantage premiums as principal sources of funding, (2) its lack of any real or believable mechanism for containing costs, and (3) its bureaucratic complexity.

3. The taxes on high-cost insurance plans, the other principal source of funding, will cause those who now have good insurance (called, pejoratively, “Cadillac” plans) to find these plans heavily taxed and their employers given a strong incentive to cut back on their benefits. Instead of reducing underinsurance, this part of the Plan will increase it! (And the rest of the plan does little about underinsurance at all.)

4. During the four years of waiting for the Plan to take effect, costs will continue to rise. By the time the Plan takes effect, costs are likely to be at least 25% greater than now. Even more people will find insurance and health care unaffordable. People will ask “What was health reform about?” The disillusionment will be great.

5. The complexity of the plan, including (1) federal rules regarding what kinds of employer-based insurance plans are “qualified,” (2) new income tax forms that will be needed to implement the individual mandate, and (3) the process of determining income eligibility for everyone, will all lend themselves to criticism and even ridicule.

Is there a way out? Not, in my view, as long as Obama sticks with this worthless and unworkable Plan. Only if we were to adopt a much simpler plan that would benefit everyone — a Medicare for All plan — would he be seen as actually addressing the problem and really offering a workable solution. Short of that, he, and all of us, are in real trouble.

[stray cat]

1. Dems will be in trouble either way -

people want insurance but don't want to pay for it and the costs that are required for medical care

[eridani]

2. There would be a lot less resistance to paying if there were no useless intermediaries involved.

The hit to American consumers is vastly higher in proposed legislation than other countries with mandated private insurance have to put up with. Why should we tolerate getting robbed of 10-12% of income to get crap that only covers 70% of health care expenses when the Dutch pay 100 euros per month per adult with NO copays or deductibles?

[Laelth]

3. Hear, hear! Well said. k&r n/t

:dem:

-Laelth

[Old Codger]

4. Universal Medicare

Makes the most sense of anything that has been proposed to date, it can be implemented faster than anything else, cuts out a useless middle man who adds nothing but extra expense to the system and the infrastructure already exists...

[dionysus]

5. medicare for all is great but, do you expect the blue dogs go for it.

or could that be done with a simple majority somehow.

[Old Codger]

7. Big if

If they wanted to they could do it, they have much more control behind the scenes than they let on, they can have a big impact on any so called dem running for office, they control the money from the DNC they can run a lot of PAC's in and go either way in primaries in areas of any that oppose the vote.. I do believe they can if they really want to, main question is will they?

[inna]

6. KR+6.