Archive for the ‘Public Plan’ Category

Pay or Play a Winner in the Bay City

If employers are mandated to provide health insurance,will it be a job killer?  Will it cost American workers income in the form of lost wages?

For the anti-American conservative forces in this country, the answer to this question is a no-brainer – a resounding “Absolutely!”.

For those less ideologically hamstrung, the answer might be “Don’t jump to conclusions”.

The Robert Wood Johnson Foundation (RWJF) released a study recently that concluded conservative fears were without basis.

In the words of the RWJF:

“In contradiction to past research and long-held economic theories, a new study finds that that when facing a “pay-or-play” mandate requiring employers either provide health benefits or contribute to a public option health plan, employers did not lay off staff or cut wages appreciably as a result.”

Novel legislation

The San Francisco law was notable in several ways.  Several states had attempted to legislate some form of an employer mandate.  All were vigorously opposed by anti-American conservatives and business interests who argued – guess – that it would hurt business, cost jobs, and therefore hurt workers.  Those efforts that survived were challenged in court on the grounds that the ERISA preemption clause prevented states from taking this course. Continue reading ‘Pay or Play a Winner in the Bay City’

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Covering the Uninsured – the Test

There is a group of people that has not been engaged in this debate about health care reform.

Yet the debate is about this very group of people – the uninsured.steppingut_8051

But when the dust settles, the shouting is over, the ink is dry, and the regulations are in translation, those disengaged uninsured will emerge from their shells.  Like Punxsatawney Phil their heads will rise above their immediate struggles and they will check out the new climate for health care.

Will the sun shine and point the way for a brighter future for so many who have hidden in the burrows of our society?

Or will they see no discernible change and crawl back into an indefinite health insurance winter?

A recent report by the Robert Wood Johnson Foundation and the Urban Institute attempts to answer the question, how will the current reform proposals affect the number of uninsured.

It is full of impressive numbers, but offers insufficient concrete evidence that a “reformed” maze will be any easier to navigate than the current one.

One number is instructive.  Almost 30% of the currently uninsured are eligible for some form of public health insurance programs?  Half of those are children.  Why aren’t they enrolled? Continue reading ‘Covering the Uninsured – the Test’

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The Public Plan Option: What it is and is not

I have a hard time getting my arms around the public plan option debate.  As other have said far better than me, it is not central to health reform, although it clearly central in the debate around health care reform.  Instead it is a proxy for a lot of other issues.

UHCAN Rally June 25

UHCAN Rally June 25

Just about everyone in the health care debate/discussions has their lynch pin issue.  It’s what I call the “just fix this” syndrome. They range from, “If everyone would just exercise more,” to “if the government would just pay for everything.”  In between is a whole range of touchstone issues, including numerous proposals for delivery system reform, payment reform, tax reform, the list goes on. Continue reading ‘The Public Plan Option: What it is and is not’

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Healthcare Reform – Why a public plan Option?

Some things I don’t understand!

I just don’t quite get the “public plan option” idea.

I read Jacob Hacker’s proposal for a public plan option again.  Professor Hacker is a scholar with his heart in the right place, a rare combination.  He gained my immense respect after I heard him speak about his book, The Great Risk Shift, a couple of years ago.

Professor Hacker makes a compelling case that a public plan is not only administratively more efficient than private plans, but that they have a convincing record of introducing large scale quality initiatives and payment reforms into the marketplace.

He then goes on to describe the dismal record of private insurers in comparison to public plans.

So why are the private plans an option if the public plans are superior?

That’s what I don’t get! Continue reading ‘Healthcare Reform – Why a public plan Option?’

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