Originally posted by: SammyJr
I don't think that was ever in the bill. The goal hasn't been to kill private insurance and a provision like that would certainly do so.
It was somewhere in the bill- it was linked here on ATP&N. There was some discussion about how it would be interpreted or enforced. I never hear what the resolution was. I hate the fusetalk search, so maybe someone can help dig this thread up if they have some free time.
Taxes have yet to be determined. It seems like a benefit tax is out. If taxes are raised, its going to be one the top brackets. I'm nowhere near the top bracket, although the tax rate isn't going to prevent me from trying to enter it. People on the public option will pay premiums and employers above a certain size who don't offer insurance will be paying into the system as well.
Unless there is something that I haven't heard of, I don't think I'll see new taxes.
This hinges somewhat on the resolution to the item above, but if coverage for pre-existing conditions is federally mandated, the whole system becomes one giant hidden tax. Insurance is designed to share risk; we know that something will happen to someone, but we don't know who, so everyone pitches in in case it's them. Once the event has occurred, the uncertainty is gone. Allowing someone to participate in the pool
in case something happens but covering those events that have already happened is no longer risk sharing/insurance. At that point it becomes a tax. So, by covering pre-existing conditions any premium you pay is no longer sharing risk among those who
might have something occur but instead a tax on those who have not had something occur to transfer money to the unfortunate. It basically becomes a system akin to SSI.
Assuming there is a public option, more people will be covered and hopefully, bankruptcies will be reduced.
Reducing the cost of care is a huge problem and requires huge amount of data to analyze and fix. Health costs for the same diseases vary between location. The EMR systems that have been proposed will help collect this data. When we have more data, doctors can make better choices. This will also help with tort reform since it will be a lot easier for doctors to defend their actions with hard data.
Hindsight is 20/20.
I agree with some of what you said here (concerning data analysis and choices) but this bill doesn't allow for that since it proposes solutions to the problem
before the data can be analyzed. It's putting the cart before the horse. You advocated earlier for "getting the ball rolling". If the bill had just this in it, that would be getting the ball rolling. But you can't say "We don't know so we'll study it. Oh, and here's a solution!". You either dedicate the resources to finding the root cause and
then offer solutions or throw fixes at it (like this bill) without knowing the cause, and without paying lip service to and wasting resources in "research".