Tuesday, September 27, 2011

Deal on health reform key to sustainable budget

Someone who wanted to write about my book asked for a 200 word summary on the next steps after the Affordable Care Act that are the heart of my book Balancing the Budget is a Progressive Priority. Here they are:


Health care costs are the biggest obstacle to a sustainable budget, and what our country most needs is a bipartisan way forward to address the inter-connected problems of cost, coverage and quality. This is what I think a bipartisan outcome would look like if the parties actually negotiated:
·         Federally guaranteed, universal catastrophic coverage with more insurance available in exchanges. This would render the individual mandate moot
·         Modify the tax treatment of employer provided insurance
·         End Medicaid by transitioning all dual eligible costs to Medicare, and buying private gap policies for other beneficiaries via exchanges
·         Enable Medicare to become an active purchaser of care
·         Enact comprehensive medical malpractice reform
·         Adopt a cap on overall federal health care spending, with a payroll tax based fail safe that is triggered if specified savings are not achieved
This list includes policy options that I think are clearly warranted along with others that I think are more political in nature. However, that is what we most need, a political solution that provides both “sides” with some credit, but most importantly, gives them both responsibility for moving ahead with the hard work of developing a sustainable health care system.
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As an aside, if you hear a politician talking about our need for a long range balanced budget, you should wonder about their health reform plan. If they don't have one, then they have no plan for how our country ever having a balanced budget again. If they have a plan, ask your self if it can get 60 votes in the Senate, 218 in the House and be signed by this or any President. If no, then they don't have a plan, they have a fantasy. The Affordable Care Act has the benefit of being law, and it is the only reform vehicle we have or are likely to have in the near future. It can be tweaked in small or large ways.

21 comments:

  1. Powerful Republicans, Congress is launching a key challenge for the provision of health care reform law.

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  2. In addition, changing demographics, disease profiles and the shift from chronic to lifestyle diseases in the country has led to increased spending on healthcare

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  3. In addition, changing demographics, disease profiles and the shift from chronic to lifestyle diseases in the country has led to increased spending on healthcare.

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  5. Wellness change is big and complete. It will impact nearly every facet of the system. We provide you a reduced edition of the matter.

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  6. Offering information on medical reform and medical plan, including the uninsured, Medicare plan, cost of medical, child medical insurance.

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  7. Health change database for The Plum Line, Greg Sargent's blog on home nation-wide politics and issue on the Slope.

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  10. Medical change is a general rubric used for talking about major wellness insurance insurance plan creation or changes—for the most part, government insurance insurance plan that affects wellness care.

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  12. Nice information on health reform.... Thanks for sharing.
    Dan Bennett
    MBF Personal Training

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  13. Putting People in Control of Their Wellness Care - the White Homes online center for all things health change. A key supply in the Affordable Care Act.

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  14. Medical change in the U. s. Declares has a long history, of which the most latest results were two government laws introduced truly.

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  15. This list includes policy options that I think are clearly warranted along with others that I think are more political in nature.

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  16. The medical changes Chief executive Government is predicted to indication into law today would happen gradually for the most part, with a few conditions throwing.

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  17. This list includes policy options that I think are clearly warranted along with others that I think are more political in nature.

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  21. HC reform should begin at the market level, not through government intervention.

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