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• Cost control appears to be Obama’s altitude prerogative, even over expanding coverage. I want to tension that reform cannot mean focusing on expanded coverage unattended. Indeed, without a solemn, sustained effort to decrease the growth rate of health care costs, affordable health care coverage will remain out of approach.
Finally,MBT Sports Shoes, there namely 1 huge question the letter doesn’t address: if employer-provided health benefits ought be taxed. Obama disapproved namely motif when John McCain put it ahead, fatigue hates it, but lawmakers–including Baucus–now say it could be the merely direction they can find the money to disburse for health care reform among 11 annuals, for required below the ration rules. Watch that one closely. Moving ahead, it could prove to be one even bigger sticking point than the public plan.
That could depart a lot of folk without warranty.
Not so many whichever extra. Today,MBT Kaya Shoes, the White House unlocked a letter from the President to Senate Finance Committee Chairman Max Baucus and Senate Health, Education, Labor and Pensions Committee Chairman Ted Kennedy. It gives us a somewhat better idea of what Obama would favor to discern in the legislation that those 2 committees will start charting later this month. Among its points:
• He wants a “a public health insurance discretion operating alongside private plans. This will give them a better scope of alternatives, make the health care mart more competitive, and reserve insurance companies aboveboard.” So he wants a government-financed plan to be chapter of the merge, and no just as a fallback if personal insurance doesn’t do the job of providing affordable and affable scope. But what does that mean, exactly? Will it work like Medicare, alternatively more like a personal insurance enterprise, having to finance its actions on what it collects in premiums? The sometime is what liberals say they ambition to see; the latter,MBT Vizuri GTX Shoes, the most the insurance manufacture says it will adopt.
Until immediately, Barack Obama’s strategy ashore health care has been a conscious effort to shirk the mistakes of Bill and Hillary Clinton, who delivered a 1,000-plus-page bill to Congress and then saw it obtain dismantled. Though Obama produced a health care plan during his presidential movement, he has whistled semaphored since his inauguration that he is pretty flexible on its details.
• He is now willing to consider a prerequisite that individuals must buy insurance. This is a alteration from his campaign proposition, which had no such “individual order.” But there are exceptions, either to the individual order and to the requirement that employers cater insurance: If we do bring an end to ... with a system where people are responsible for their own insurance,MBT Tembea Shoes, we need to provide a hardship waiver to exempt Americans who cannot supply it. In counting, while I trust that employers have a responsibility to support health insurance for their employees, small affairs face a number of special challenges in affording health benefits and should be exempted.
UPDATE: Jonathan Cohn also sees more money on the chart.
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