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My Left Nutmeg

Wyden Introduces Universal (?) Health Care Bill

by: Matt Browner Hamlin

Wed Dec 13, 2006 at 12:19:37 PM EST


I've seen this touted as a universal healthcare bill, but I don't quite see how it is. Mostly it seems to ensure that people can change jobs and still have health insurance. I'd welcome an explanation about how this bill would increase the health care coverage to all Americans. Associated Press:
Wyden's proposal, which he planned to unveil on Wednesday, is an outgrowth of work by the Citizens' Health Care Working Group, a 14-member panel that went to 50 communities around the country and heard from 28,000 people about how to overhaul the nation's health care system.
...
Wyden said his new plan would allow workers to carry their health insurance from job to job without penalty. More efficient administration and more promotion of competition for health care plans, he said, would allow greater coverage while costing no more than the government is paying today for health insurance coverage.

Called the "Healthy Americans Act," the plan would cover all Americans except those on Medicare or those who receive health care through the military.

It would require that employers "cash out" their existing health plans by terminating coverage and paying the amount saved directly to workers as increased wages. Workers then would be required to buy health insurance from a large pool of private plans. [This is the key paragraph that I was missing - Matt]

After two years, companies would no longer have to pay the higher wages. Instead, Wyden said, they would pay into an insurance pool, based on annual revenues and the number of full-time workers.

It's a good sign that Andy Stern of SEIU supports the Wyden bill.


"Our employer based health care system is a relic of a national and industrial economy. Today, America cannot compete in a global economy when we put the price of health care on the cost of our products, and our competitor nations do not. It is a failed job creation, trade, and economic policy, not to mention the moral dimension of the uninsured and underinsured.

"It is time for fundamental, not incremental change, and Senator Wyden has a plan that is practical and principled, and sets down a moral test: Why doesn't every American have the right to the same health care as the President, the Vice President, 535 members of Congress, and 3 million Federal workers?

"On behalf of the 1.9 million members of SEIU and their families, and as the largest union of health care workers, we believe Senator Wyden has made a critical contribution to the debate that Congress must attend to next year. Americans are sick and tired, and cannot afford to wait any longer for change."


I still need to see some details on this before I can pass judgement.

Update: BlueOregon has this explanation:

The plan would end employer-based health care, replacing it with a system of universal private insurance.
Matt Browner Hamlin :: Wyden Introduces Universal (?) Health Care Bill
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Sirota (0.00 / 0)
Here's a bit of David Sirota's take:
I want to be clear - I'm sure there will be questions and concerns about Wyden's exact proposal. It's probably not a perfect bill, and it is not a traditional single-payer system that I and others have advocated for. But there is not going to be a perfect silver-bullet solution to the health care crisis - and the fact that we now have a U.S. Senator preparing to use the new Congress to force a real debate on universal health care is a major step forward. That debate will force the Beltway media and the country at large to start thinking once again about a big issue that confronts the nation - and hopefully, will get us back to focusing not on cults of personality, not on the horse race, but on challenging the hostile takeover of our government by Big Money interests and actually making substantive change that can improve the lives of millions of people.


Disclosure: I'm proud to work for the Service Employees International Union

hand out (0.00 / 0)
I am surprised by Sirota's quick compromise of the single payor system.  He says in the above quote that there is no single bullet fix to our health care crisis.  What about a single payor system aready being used successfully around the world?  Health care is too important to leave it to the greedy, possibly collusive environment of private insurers. 

Forced private health insurance is also an offensive concept.  Think insurance rates are high now?  Make it mandatory and see what happens.


[ Parent ]
Completely agree... (4.00 / 1)
I think the issues are deeper than coverage - which is what we, the "consumer" of health care, deal with when we're not getting medical attention - it's really the delivery of health care which is herendous when compared to most 'industrialized' nations in terms of outcomes. And it is the area of delivery where the bulk of the costs reside - both in poor outcomes (including hundreds of thousands of needless deaths) and in terms of basic care costs. These critical issues are never addressed by legislators who are more interested in simple coverage. But coverage in a broken health care system can, in fact, make the system even worse than it is.

That said, so far this bill does not look like a "universal plan" whereby all Americans are covered regardless of job status. When the insurance co. are still in the mix you know we'll still have the management of costs/care/benefits for profits by these "non-value add" enterprises. While there are issues with the notion of universal medicare - I think that's a better starting place - given its success to date and work from there.

Given the bits and pieces, so far this bill just looks like a HIPAA/COBRA extension while not really offering much more than getting business out of the mix - which is a good idea but certainly not the primary issue, IMHO.


[ Parent ]
this is not health care (4.00 / 1)
ordering everybody to buy insurance is not health care. all it does is bring the young worker (who is almost always fairly healthy and pure profit for the insurance companies) into the mix by forcing him/her to buy the insurance he/she may now be going without. that's where the "cost savings" come from. the insurance companies will be making a boatload more money and will be able to lower rates slightly--for a while.
universal healthcare is expanding medicare to cover every american. accept nothing less.

 
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