President Obama Releases His Own Healthcare Plan proposal-Has No Public Option

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President Obama officially released his own health care reform proposal on Monday in a last-ditch effort to unite the Democratic Party around some sort of comprehensive legislation.

Coming days before the much anticipated bipartisan health care reform summit this Thursday, the 11-page White House proposal is being pitched as a foundation upon which lawmakers can build. Presidential aides stressed repeatedly on a call with reporters Monday that Republicans will have opportunities to amend it.

“We view this as the opening bid for the health meeting,” said Communications Director Dan Pfeiffer. “We took our best shot at bridging the differences. We think this makes some strong steps to improving the final product. It is our hope the Republicans will come together around their plan and post that online prior to the meeting so that the American people have a chance to go look at it… and be thoroughly informed heading into this meeting.”

But it clearly remains a Democratic effort. Working off the Senate’s bill while melding key provisions from the House’s version, White House officials are proposing to add another $75 billion in costs to the legislation, bringing the total up to $950 billion over the next decade — all of which will be offset by increased revenue.

Among the major changes in the president’s proposal:

  • It removes the $100 million in Medicaid funding that Sen. Ben Nelson (D-Neb.) had secured for his home state of Nebraska — funding that, after intense criticism, even Nelson now wants removed.
  • It adopts the House’s more generous measures to help individuals purchase insurance, and adopts the Senate’s approach when it comes to penalizing individuals who don’t buy insurance — basing the penalty on a reduced flat dollar assessment or percentage of income, and including a “hardship” exemption for families who simply cannot pay the fine. (This paragraph has been corrected.)
  • It closes the Medicare prescription drug “donut hole” coverage gap by 2010 — choosing the House’s language rather than the Senate’s (which would provide a 50 percent discount for only certain drugs in the hole). How this conforms to the deal that the White House cut with the pharmaceutical industry at the beginning of the health care reform process is unclear.
  • It adopts the Senate’s model for health insurance exchanges (virtual marketplaces for consumers to compare and buy coverage) making them state-based as opposed to national. One plugged-in activist told the Huffington Post that this could be because it would be impossible to pass national exchanges into law using the Senate’s simple-majority reconciliation process.
  • It adopts the Senate’s abortion provisions, which are more moderate than the aggressively anti-choice measures adopted in the House.
  • It uses the Senate’s revenue provisions, though it goes a long way toward pacifying those concerned about the so-called “Cadillac tax”. The threshold at which health care plans would be hit by that tax would be raised from $23,000 for a family plan to $27,500. And the provisions would not kick in at all until 2018.
  • It includes a new wrinkle: establishing a national health insurance authority that would help states combat insurers that institute unreasonable premium increases. Sen. Dianne Feinstein (D-Calif.) introduced this same proposal last week.
  • Finally, despite a late-stage push for the White House to include a public option for insurance coverage in the final bill, the president’s proposal does not include any element of government-run insurance.

“There is not a public option in here,” said Pfeiffer, before insisting that the president does support the provision.

Here’s the Obama Proposal http://www.docstoc.com/docs/26105541/obamaproposal

With the health care summit scheduled for this Thursday, the White House is hoping that this foundation will get even a sliver of support from the Republican caucus. But aides aren’t holding their breath. Calling for an up-or-down vote on the bill, Pfeiffer nevertheless declined to surrender the idea that Democrats would pass the legislation in the Senate using reconciliation — the parliamentary process that precludes filibusters.

“This package is designed to help us [use reconciliation] if the Republican Party decides to filibuster health care reform,” said Pfeiffer. “That was certainly a factor that went in to how we put this proposal together.”

Obama’s proposal is designed to fill the role traditionally played by House and Senate negotiators in conference committee — bringing together disparate factions around one cohesive reform package. White House aides said that they consulted and worked with members of Congress when drafting their approach. Whether they have the necessary support of the Democratic Caucus to get it passed, however, is still very much an open question.

“The proposal we are putting on line is informed by our discussions with the House and the Senate leadership,” Pfeiffer said. “But it is the president’s proposal.”

original source:http://www.huffingtonpost.com/2010/02/22/obamas-health-care-propos_n_471324.html

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Obama Punks Out to GOP & Insurance Companies-Public Option is Outta Here

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I am here in Washington DC this morning and all this weekend the buzz is Obama has already cut a backroom deal with the insurance companies and skittish Senators. He seems determined to once and for all publicly derail the Public Option. Translation people are now at the mercy of insurance companies. Translation a whole lot of folks are about to be screwed royally.

If Obama backs out as indicated it will mean a loss and hence you can expect all other controversial measures including Immigration Reform to be off the table. You can also expect a more aggressive GOP, in spite being the minority to be embolded and may actually push to put the smash on people even more.

The lesson here is that folks who came out in record numbers and organized to put Obama into office will have to take that same energy and fight to make sure their aspirations and expectations are met and they have a seat at the table.

The other thing to note is that Obama and his healthcare team did very little to reach out to the hordes of young people who voted him into office on this issue. He didn’t reach out to them for ideas, help or even to target them in commercials. He did very little outreach to poor communities and communities of color.

This is a bad, bad, bad, look for President Obama

-Davey D-

White House appears ready to drop ‘public option’

http://news.yahoo.com/s/ap/20090816/ap_on_go_pr_wh/us_health_care_overhaul

BarackObama-175WASHINGTON – Bowing to Republican pressure and an uneasy public, President Barack Obama‘s administration signaled Sunday it is ready to abandon the idea of giving Americans the option of government-run insurance as part of a new health care system.

Facing mounting opposition to the overhaul, administration officials left open the chance for a compromise with Republicans that would include health insurance cooperatives instead of a government-run plan. Such a concession probably would enrage Obama’s liberal supporters but could deliver a much-needed victory on a top domestic priority opposed by GOP lawmakers.

Officials from both political parties reached across the aisle in an effort to find compromises on proposals they left behind when they returned to their districts for an August recess. Obama had wanted the government to run a health insurance organization to help cover the nation’s almost 50 million uninsured, but didn’t include it as one of his core principles of reform.

Health and Human Services Secretary Kathleen Sebelius said that government alternative to private health insurance is “not the essential element” of the administration’s health care overhaul. The White House would be open to co-ops, she said, a sign that Democrats want a compromise so they can declare a victory.

Under a proposal by Sen. Kent Conrad, D-N.D., consumer-owned nonprofit cooperatives would sell insurance in competition with private industry, not unlike the way electric and agriculture co-ops operate, especially in rural states such as his own.

With $3 billion to $4 billion in initial support from the government, the co-ops would operate under a national structure with state affiliates, but independent of the government. They would be required to maintain the type of financial reserves that private companies are required to keep in case of unexpectedly high claims.

“I think there will be a competitor to private insurers,” Sebelius said. “That’s really the essential part, is you don’t turn over the whole new marketplace to private insurance companies and trust them to do the right thing.”

Obama’s spokesman refused to say a public option was a make-or-break choice.

“What I am saying is the bottom line for this for the president is, what we have to have is choice and competition in the insurance market,” White House press secretary Robert Gibbs said Sunday.

A day before, Obama appeared to hedge his bets.

“All I’m saying is, though, that the public option, whether we have it or we don’t have it, is not the entirety of health care reform,” Obama said at a town hall meeting in Grand Junction, Colo. “This is just one sliver of it, one aspect of it.”

It’s hardly the same rhetoric Obama employed during a constant, personal campaign for legislation.

“I am pleased by the progress we’re making on health care reform and still believe, as I’ve said before, that one of the best ways to bring down costs, provide more choices and assure quality is a public option that will force the insurance companies to compete and keep them honest,” Obama said in July.

Lawmakers have discussed the co-op model for months although the Democratic leadership and the White House have said they prefer a government-run option.

Conrad, chairman of the Senate Budget Committee, called the argument for a government-run public plan little more than a “wasted effort.” He added there are enough votes in the Senate for a cooperative plan.

“It’s not government-run and government-controlled,” he said. “It’s membership-run and membership-controlled. But it does provide a nonprofit competitor for the for-profit insurance companies, and that’s why it has appeal on both sides.”

Sen. Richard Shelby, R-Ala., said Obama’s team is making a political calculation and embracing the co-op alternative as “a step away from the government takeover of the health care system” that the GOP has pummeled.

“I don’t know if it will do everything people want, but we ought to look at it. I think it’s a far cry from the original proposals,” he said.

Republicans say a public option would have unfair advantages that would drive private insurers out of business. Critics say co-ops would not be genuine public options for health insurance.

Rep. Eddie Bernice Johnson, D-Texas, said it would be difficult to pass any legislation through the Democratic-controlled Congress without the promised public plan.

“We’ll have the same number of people uninsured,” she said. “If the insurance companies wanted to insure these people now, they’d be insured.”

Rep. Tom Price, R-Ga., said the Democrats’ option would force individuals from their private plans to a government-run plan as some employers may choose not to provide health insurance.

“Tens of millions of individuals would be moved from their personal, private insurance to the government-run program. We simply don’t think that’s acceptable,” he said.

A shift to a cooperative plan would certainly give some cover to fiscally conservative Blue Dog Democrats who are hardly cheering for the government-run plan.

“The reality is that it takes 60 percent to get this done in the Senate. It’s probably going to have to be bipartisan in the Senate, which I think it should be,” said Rep. Mike Ross, D-Ark., who added that the proposals still need changes before he can support them.

Obama, writing in Sunday’s New York Times, said political maneuvers should be excluded from the debate.

“In the coming weeks, the cynics and the naysayers will continue to exploit fear and concerns for political gain,” he wrote. “But for all the scare tactics out there, what’s truly scary — truly risky — is the prospect of doing nothing.”

Congress’ proposals, however, seemed likely to strike end-of-life counseling sessions. Former Alaska Gov. Sarah Palin has called the session “death panels,” a label that has drawn rebuke from her fellow Republicans as well as Democrats.

Sen. Orrin Hatch, R-Utah, declined to criticize Palin’s comments and said Obama wants to create a government-run panel to advise what types of care would be available to citizens.

“In all honesty, I don’t want a bunch of nameless, faceless bureaucrats setting health care for my aged citizens in Utah,” Hatch said.

Sebelius said the end-of-life proposal was likely to be dropped from the final bill.

“We wanted to make sure doctors were reimbursed for that very important consultation if family members chose to make it, and instead it’s been turned into this scare tactic and probably will be off the table,” she said.

Sebelius spoke on CNN’s “State of the Union” and ABC’s “This Week.” Gibbs appeared on CBS’ “Face the Nation.” Conrad and Shelby appeared on “Fox News Sunday.” Johnson, Price and Ross spoke with “State of the Union.” Hatch was interviewed on “This Week.”

written by Phillip Elliott

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