Friday, June 19, 2009

Promises, Promises: Obama's health plan

From the AP:
President Barack Obama seems to leave little room for doubt when he promises that his health care plan will let people keep the coverage they have. His vow sounds reassuring and gets applause, but no president could guarantee such a pledge...

"No matter how we reform health care, we will keep this promise to the American people," Obama said Monday, addressing the American Medical Association. "If you like your doctor, you will be able to keep your doctor, period. If you like your health care plan, you'll be able to keep your health care plan, period. No one will take it away, no matter what."

He didn't let up.

"If you like what you're getting, keep it," Obama said. "Nobody is forcing you to shift."

Yet the legislation the Obama administration is working on with the Democratic-controlled Congress would make major changes in how Americans pay for health care. The goal is to slow cost increases and bring in nearly 50 million uninsured, and the consequences are bound to affect how employers design benefit plans.

Americans could be headed for a frugal era in which doctors order fewer tests and procedures and insurers monitor medical decisions more closely.

Earlier this week, a preliminary analysis by Congressional Budget Office estimated that 10 million people would have to seek new insurance under a Democratic plan that a Senate committee is working on, because their employers would no longer offer coverage...

Obama's opponent in last year's presidential election, Sen. John McCain of Arizona, declared: "I don't believe this is a promise the president can keep."

Neutral observers are also skeptical. Dallas Salisbury, head of the Employee Benefit Research Institute, called Obama's promise "an aspirational statement."

"If he was a king, he would deliver that, but he's not king," said Salisbury. [Salisbury's]group is a nonpartisan information clearinghouse on health and pension benefits...

White House officials suggest the president's rhetoric shouldn't be taken literally: What Obama really means is that government isn't about to barge in and force people to change insurance...
From the Foundry:
Depending on how the public plan is designed in Congress, millions of Americans would lose their existing coverage. By opening the public plan to all employees and using Medicare rates, the Lewin Group, a nationally prominent econometrics firm, has said that the public plan could result in 119.1 million Americans being transitioned out of private coverage, including employer based coverage, into a public plan....
Promises, Promises.......

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