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Some Basic Info on CBO Scoring of Healthcare Bills

Via ThinkProgress, both the Baucus Bill and the plan put forward by Pelosi will enroll some more people but most will not be in the Public Option and it will not cover everyone:

CBO: Public Option To Attract Only 6 Million Enrollees & Doesn’t Offer Lower Premiums

The public option would attract about 6 million enrollees by 2019 and charge premiums that are “somewhat higher than the average premiums for the private plans in the exchanges.” This is because the public option would “engage in less management of utilization” by its enrollees and “attract a less healthy pool of enrollees,” the office concludes. Moreover, since the House bill expands Medicaid up to 150% of the federal poverty line, it’s possible that the enrollees that would have enrolled in the public option went into Medicaid instead.

Below is a comparison of the relevant provisions in the House and Senate Finance Committee legislation:

  CBO Score Of House Bill CBO Score Of Baucus Bill
Costs Reduce deficits: $104B/10yrs
Cost: $894B/10yrs
Spends on subsidies: $605B/10yrs
On Medicaid/CHIP: $425B/10yrs
On Small Employer Credit: $25B/10yrs
Reduce deficits: $81B/10yrs
Cost: $829B/10yrs
Spends on subsidies: $461B/10yrs
On Medicaid/CHIP: $345B/10yrs
On Small Employer Credit: $23B/10yrs
Insured Uninsured reduced by: 36M
Uninsured in 2019: 18M
In Exchanges: 30M | Public Plan: 6M
In Medicaid: 15M
Uninsured reduced by: 29M
Uninsured in 2019: 25M
In Exchanges: 23M
In Medicaid: 14M
Revenue Mandate penalty: $33B/10yrs
Pay-Play penalty: $135B/10yrs
New taxes: $572B/10yrs
Mandate penalty: $4B/10yrs
Free rider penalty: $23B/10yrs
New taxes: $196B/10yrs
Medicare
and
Medicaid
Total savings: 426B/10yrs
Medicare Advantage: $170B/10yrs
Total savings: 404B/10yrs
Medicare Advantage: $117B/10yrs

With a Single Payer solution it would be everybody in and nobody out - AND it would save a heck of a lot more money for everyone.

The difference is not just everyone being covered but HUNDREDS of BILLIONS of DOLLARS saved every year: Make the jump»

Who Believes the $80B Pharma Pholly?

A couple weeks ago pharmaceutical companies pledged to "voluntarily" reduce their revenues by $80 Billion over 10 years. Forgive me for not standing up to salute that initiative.


Maybe it's because I can... like, do the math in my head.


$80 Billion / 10 years = too damn little $8 billion per year.


That won't stop the spinmeisters who are brazenly pushing this as a great sacrifice, however, some people see this offer for what it is.



To be sure, $80 billion is less than one-tenth the projected cost of healthcare reform. But by striking this cost-sharing deal with one of the reform effort's leaders--Sen. Max Baucus--and the White House, drugmakers could shame other providers into cutting their prices, too.


Nancy Snyderman's Fluffy Health Care News Show

Crossposted from DailyKos.

It yanks my chain whenever I see a show like MSNBC is putting on at noon Monday through Friday. Health care is at a tipping point, so what does MSNBC do? They put on fluff. She gets meaty guests, then flubs it. This interview with Tom Daschale is all broad strokes and no nitty gritty. She asks some tough questions, but lets Daschale skate without answering them.

Dr. Snyderman has been around tv for years. She was on ABC regularly. Now she's got her own spot on MSNBC at noon. The problem is she relies too much on her "authority" as an MD and she doesn't do what it takes to back up what she says.

Dr. Snyderman, trying to win an argument by saying, "Because I said so" or "I've read the research and it says I'm right on this" (without citing the source) doesn't do it for me. Take a page from Ross Perot's book and do the charts and show them to your audience. Cite your sources, don't use suspect sources. Spend less time grinding your ax and spend more time exploring ideas different than your own.

Make the jump»

What Health Care "Choices" Are They Talking About?

Cross-posted from dKos with permission of author, JDWolverton.

It happened again this morning. Some talking head on CNN was talking about making sure consumers had adequate choice in health care. What the heck was he talking about? I don't have a lot of choices when it comes to "choosing" my health insurance. ...and I don't have a lot to say about what my doctor recommends for me.

My choice for health insurance is either

  • Take my company's plan
  • Take my spouse's company's plan
  • Go out on the individual market which offers less coverage at a higher price
  • Go bare and pray we don't get sick

Similarly, my choice of health care treatment is

  • Select and pay the balance (after my insurance pays) for the treatment my physician orders.
  • Cajole my physician into ordering a treatment my insurance company allows that will most likely be less effective or the doctor would have ordered it in the first place.
  • Go against physician advice and skimp on care or skip care.
  • Pay the mortgage, car payment, electric bill or skip on food or get health care.

This "choice" meme is particularly irritating to anyone who has faced these "choices".

Make the jump»

Will We Let Universal Healthcare Lead To The Outsourcing Of Medicine To Wal-Mart?

What if we get what we have been asking for and every American is covered by medical insurance? It sounds wonderful to be able to give everyone access to healthcare - I am all for it. In a perfect world we would be healthier, live longer and the costs associated with healthcare for businesses large and small as well as the individual would become affordable. However, in the real world if nothing is fundamentally changed about the way the insurance companies operate we will continue to head towards a system that will lead to a further demoralized health care work force, good physicians will continue to leave the system, access to healthcare will be further restricted, and a viable doctor patient relationship may become a thing of the past. Make the jump»

Greed Based Health Care Has To Go

crossposted at DKos.

by JDWolverton 

 We have socialized the losses and privatized the profits in health care.

Reality Check Make the jump»