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Hillarysworld -> Health Care Issues -> "Obama’s Health Bill Plan Largely Follows Senate Version" (NYTimes 2/22/10)
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TOPIC: "Obama’s Health Bill Plan Largely Follows Senate Version" (NYTimes 2/22/10)
Sanders


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"Obama’s Health Bill Plan Largely Follows Senate Version" (NYTimes 2/22/10)
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Obama’s Health Bill Plan Largely Follows Senate Version

By SHERYL GAY STOLBERG and DAVID M. HERSZENHORN
Published: February 22, 2010


Excerpts:

The bill, which the White House estimates would cost $950 billion over a decade, aims to fulfill Mr. Obama’s goals of expanding coverage to millions of people who are uninsured, while taking steps to control soaring health care costs. It sticks largely to the version passed by the Senate in December, but offers some concessions to House leaders who have demanded more help for middle-class people.

By using the existing Senate bill as the basis for his proposal, Mr. Obama made it easier for Democrats to try to execute that parliamentary tactic, though the maneuver would bring vehement Republican opposition and remains subject to all kinds of procedural challenges.

The White House projects that Mr. Obama’s bill would extend coverage to 31 million people who are currently uninsured, at a cost over 10 years of $950 billion — more than the $872 billion the Senate would have spent, but less than the $1.05 trillion for the version passed by the House. The administration estimates that its plan would reduce the federal deficit by $100 billion over the next 10 years — and even more over the second decade — by cutting spending and reining in waste and fraud.

But the measure has not been evaluated by the nonpartisan Congressional Budget Office, whose analyses are widely considered the final word on Capitol Hill. The office’s director, Douglas W. Elmendorf, posted a blog entry on Monday that said he would need more detail than the White House has provided to conduct an analysis — and even with such details, “analyzing the proposal would be a time-consuming process that could not be completed this week.”



-- Edited by Sanders on Monday 22nd of February 2010 10:06:11 PM

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freespirit


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Good find, Sanders.

it'll be interesting to see how far off the mark the money turns out to be. Obama's WH is not shy about making bold declarations about how much money will be saved or how many jobs have been created. Trouble is, some of the job figures put out by the WH have been false, from what I've read.

And, while the idea of reigning in costs by cutting waste and fraud is wonderful, as we've seen time and again, actually cutting costs and reducing fraud are much easier said than done. Fraud is and has always been a huge issue related to Medicaid and Medicare. Some (obviously not all) providers play fast and loose with reality when they bill these two insurers. It's going to be very difficult to monitor and ensure accuracy in filing claims, IMO. Plus, Medicaid/Medicare fraud is viewed as "just business as usual" by many.

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VotedHillary


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freespirit wrote:

Good find, Sanders.

it'll be interesting to see how far off the mark the money turns out to be. Obama's WH is not shy about making bold declarations about how much money will be saved or how many jobs have been created. Trouble is, some of the job figures put out by the WH have been false, from what I've read.

And, while the idea of reigning in costs by cutting waste and fraud is wonderful, as we've seen time and again, actually cutting costs and reducing fraud are much easier said than done. Fraud is and has always been a huge issue related to Medicaid and Medicare. Some (obviously not all) providers play fast and loose with reality when they bill these two insurers. It's going to be very difficult to monitor and ensure accuracy in filing claims, IMO. Plus, Medicaid/Medicare fraud is viewed as "just business as usual" by many.


I hope the CBO comes out with it numbers before this so-called summit.

 



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Eminence


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This quote I found sort of curious:

"By using the existing Senate bill as the basis for his proposal, Mr. Obama made it easier for Democrats to try to execute that parliamentary tactic, though the maneuver would bring vehement Republican opposition and remains subject to all kinds of procedural challenges."

So how exactly will this work? I thought that in order for the Dems to use this parliamentary technique -- have the House just accept the Senate bill and vote on it as is, thus not requiring it to be sent back the Senate -- the bill that left the Senate would have to remain unchanged.

How many changes can they reasonably make then and still credibly sidestep the need for another Senate vote?

-- Edited by Eminence on Tuesday 23rd of February 2010 12:07:18 AM

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VotedHillary


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Eminence wrote:

This quote I found sort of curious:

"By using the existing Senate bill as the basis for his proposal, Mr. Obama made it easier for Democrats to try to execute that parliamentary tactic, though the maneuver would bring vehement Republican opposition and remains subject to all kinds of procedural challenges."

So how exactly will this work? I thought that in order for the Dems to use this parliamentary technique -- have the House just accept the Senate bill and vote on it as is, thus not requiring it to be sent back the Senate -- the bill that left the Senate would have to remain unchanged.

How many changes can they reasonably make then and still credibly sidestep the need for another Senate vote?

-- Edited by Eminence on Tuesday 23rd of February 2010 12:07:18 AM


None...he is using mainly the Senate bill in order to justify using "reconcilation" to get this passed.

 



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