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Pelosicare Unveiled

October 29, 2009
By
(February 12, 2009 - Photo by Mark Wilson/Getty Images North America)

(February 12, 2009 - Photo by Mark Wilson/Getty Images North America)

Speaker of the House Nancy Pelosi unveiled her 1900 page healthcare reform bill the “Affordable Healthcare for America Act” today on Capitol Hill saying that its goal is “To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.”  The bill which merged three proposals from House committees, is for the most part, exactly what was expected from the House.  There are personal and employer mandates, there is a public option, it will expand the reach of the federal government dramatically, and it still won’t cover all Americans… What?  Not all Americans?

That’s right, even the wonderful House version will still only insure 96% by Pelosi’s estimates.  She also “estimates” that it will score well below the ten-year $900 billion mark laid out by the President.  The bill has been posted online for all American taxpayers to read.  Unfortunately it is 1900 pages long, so it will take some time and some coffee for any American with no life to actually read.  I will begin this endeavor after lunch as I have coffee and…well… clearly have no life.  I will let you know how it looks.

Pelosi has been fighting for months now to find votes within her own caucus to make sure that the most liberal of liberal desires are met with this bill and it appears that she got most of what she was asking for.  The public option is there but it is not as “robust” as some like Pelosi would have hoped for.  I am sure the next few days will lead to arguments over how “robust” the public option is or is not, but it is undoubtedly far reaching and a genuine threat to our health care industry if passed in its current form.

Just as a side note – started reading this thing and wanted to see what the “public option” was finally defined as.  This is what I found…

In the Section titled “GENERAL DEFINITIONS”….

The term “public health insurance option” means the pubic health insurance option as provided under subtitle B of Title III.

ARE YOU KIDDING ME????

Here is what that section has to say about it…

(a) ESTABLISHMENT.—There is established within the Health Choices Administration and under the direction of the Commissioner a Health Insurance Exchange in order to facilitate access of individuals and employers, through a transparent process, to a variety of choices of affordable, quality health insurance coverage, including a public health insurance option.

(a) IN GENERAL.—The Commissioner shall specify the benefits to be made available under Exchange-participating health benefits plans during each plan year, consistent with subtitle C of title II and this section.

THESE PEOPLE REALLY NEED TO WORK ON THEIR USE OF THE WORD “GENERAL”

Essentially I gained nothing in an hour of looking at this thing to pin down exactly what the option is except that there will be three “options” available on the public exchange offering a variety of “options” for uninsured citizens to choose from.

HERE IS THE 1900 PAGE BILL

FOX NEWS /  AP

House Speaker Nancy Pelosi unveiled a retooled health care overhaul plan Thursday intended to bridge differences among Democrats and open a history-making floor debate on extending health insurance to nearly all Americans.

Speaking on the West Front of the Capitol surrounded by Democratic lawmakers, Pelosi, D-Calif., said the House’s version of a health care reform bill will include a government-run insurance option and extend coverage to 36 million uninsured Americans.  She said the bill will lower patient costs and reduce the national deficit.

“The Affordable Health Care Act will ensure, again, affordability for the middle class, security for our seniors, and responsibility to our children,” Pelosi said, adding that the legislation puts a major emphasis on preventative care.

Pelosi wants to have the legislation on the floor next week — with a final vote before Veterans Day, Nov. 11 — which would give President Obama a bill to sign by year’s end, numerous Democratic officials said.

The bill would require nearly everyone by 2013 to sign up through their employer, a government program or a new kind of purchasing pool called an exchange. Tax credits would be available for most of those buying coverage through the exchange. They would have the option of picking a new government plan or private insurance.

During the transition years from 2010-2013, a temporary government program would help people turned down by private insurers because of medical problems, lawmakers said. After that, insurers no longer could refuse to provide coverage to the sick, nor could they charge more because of poor health of the insured.

The plan also calls for a significant expansion of Medicaid, the federal-state health program for low-income people. And it would impose a requirement on employers to offer insurance to their workers or face penalties.

A concession to Democratic moderates appears to have cleared a path for Pelosi to move forward. Democratic leaders agreed to the moderates’ demand that the new government insurance plan must negotiate payment levels with hospitals and doctors, instead of imposing its rates, as liberal lawmakers would have preferred.

“This has always been a matter of trying to pull together 218 votes,” said Rep. Xavier Becerra, D-Calif., referring to the number needed to guarantee passage on the House floor. “There is growing confidence that we can pass it with strong Democratic support.”

The House package reflects many of Obama’s priorities, but plenty of work remains to be done before Congress can send him a bill to sign. The House bill differs markedly from legislation taking shape in the Senate, where Majority Leader Harry Reid, D-Nev., is trying to round up support among moderate Democrats for a modified government insurance option that states could opt out of.

Democratic leaders in the House still face disputes over prohibiting taxpayer money for abortions and health care for illegal immigrants, issues they hoped to resolve after the bill’s unveiling.

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5 Responses to Pelosicare Unveiled

  1. marinemanny on October 29, 2009 at 11:48 am

    Why would you take the time to read that thing. They won’t!!

  2. John Q on October 29, 2009 at 1:03 pm

    This bill when combined with the Senate version will bankrupt private insurance in this country no matter how they want to write this. We all know that two or three years down the road amendments will be made to it that will bring back in anything that was left out this time in compromise. Just as we have been fighting with medicare and medicaid for generations, we are strapping on a new entitlement to the backs of our childrens generations.

  3. laney benjamin on October 29, 2009 at 4:37 pm

    Did you finish reading yet?

    • T. CHRISTOPHER on October 29, 2009 at 4:56 pm

      No. I took a break. The thing is mind-numbing to say the least.

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