http://wonkroom.thinkprogress.org/2008/11/12/baucus-plan/Baucus’ proposal expands Medicare, Medicaid, and State Children’s Health Insurance Program (SCHIP) and opens “Medicare to people ages 55 to 64.” As the New York Times reports, “Medicaid would be available to everyone below the poverty level and could provide at least seven million more people with access to the program.” SCHIP “would be expanded to cover all uninsured youngsters in families with incomes at or below 250 percent of the poverty level ($44,000 for a family of three),” raising the income limit “in about half the states.”
Here are the guts of the proposal:
- A choice of public or private: Creates a “health insurance exchange,” where people could choose from among private insurance policies and a new public Medicare-like plan.
- End to discrimination: Prohibits insurers from denying coverage of preexisting conditions or age.
- More affordable coverage: Offers new tax breaks for individuals and small businesses to offset the costs of insurance.
- Easier to enroll: Ends the current ban against immigrants participating in Medicaid or SCHIP in their first five years in the United States.
- Focus on prevention: Uninsured would receive a “RightChoices” card that guarantees access to recommended preventive care.
- Payment reform: Refocuses payment incentives from quantity (fee-for-service) toward quality and value.
Baucus finances the plan by “eliminating, fraud, waste, and abuse in public programs,” ending overpayments in the Medicare Advantage program, increased transparency, and “careful reforms of medical malpractice laws that could lower administrative costs and health spending.” More controversially, Baucus also proposes revisiting “the current tax treatment of employer-sponsored health insurance…. a benefit valued at $245 billion annually.”
At this point that sounds better than anything Emperor Baucus has
come up with this year with the "help" of Republicans.
I'm no Baucus fan, but I think he would find it flattering and
irresistible if we just begged for his version of the public option.
Presumably later the rest of our citizens would get phased in to the
program as it becomes more successful.
what think you, DU?