The health care legislation supported by Democrats on the Senate
Health, Education, Labor and Pensions Committee, chaired by Ted
Kennedy, has now been officially
released after being leaked earlier.
I looked through its 615 pages quickly, for some of the main
features of the plan, and here are the highlights:
--A requirement that insurers cover everybody who applies for
coverage, regardless of health status or preexisting conditions
along with community rating so that everybody gets charged the
same price for coverage with some wiggle room when it comes to
age (but the rate differential is still capped at 2:1).
--A mandate forcing individuals to purchase health insurance.
-- An expansion of Medicaid eligibility, and subsidies to
purchase health care on an insurance exchange.
--Instead of a single national exchange, it will provide funding
for states to start their own exchanges, called "gateways," which
will offer a public option.
--Measures to reduce costs through the use of information
technology and improved preventive care.
While I intend to take some more time to look at the specifics,
at first blush, this unsurprisingly is a very liberal proposal.
While it promotes itself as the "Affordable Health Choices Act"
the reality is much different. It certainly wouldn't be
affordable to taxpayers, and the choices offered would be limited
to what would be deemed "qualified plans" by the government.
Also, while individuals would be able to choose whether or not to
participate, the exchange would also be open to employers --
meaning if businesses decide to dump their employers on the
exchange, individuals won't actually have much of a choice. And
of course, it says that each exchange, "shall include a public
health insurance option" (pg 43), which of course is a way of
migrating more people to government health care over time.