Romney's healthcare plan may be more revolutionary than Obama's
27 replies, posted
[I]Instead of getting coverage at work, more Americans would shop for it on their own. That would mean more choices — and more risk.[/I]
[IMG]http://www.latimes.com/media/photo/2012-04/69537525.jpg[/IMG]
[B]WASHINGTON —[/B] As he pushes to "repeal and replace" President Obama's healthcare law, former Massachusetts Gov. Mitt Romney has turned to proposals that could alter the way hundreds of millions of Americans get their medical insurance.
In public, Romney has only sketched the outlines of a plan, and aides have declined to answer questions about the details. But his public statements and interviews with advisors make clear that Romney has embraced a strategy that in crucial ways is more revolutionary — and potentially more disruptive — than the law Obama signed two years ago.
The centerpiece of Romney's plan would overhaul the way most Americans get their health coverage: at work. He would do so by giving Americans a tax break to buy their own health plans. That would give consumers more choices, but also more risk.
Critics and independent analysts say the impact would probably leave a larger number of Americans without insurance.
Conservative healthcare experts say changes along those lines would bring the benefits of competition to healthcare and that basic restructuring is needed.
"There are significant changes that should be made," said Dr. Scott Atlas, a senior fellow at the Hoover Institution who is advising the Romney campaign.
Romney's plan follows a lead set by President George W. Bush, who unsuccessfully pushed for a healthcare overhaul. It adopts proposals long championed by conservative healthcare experts.
It also sharply contrasts with Romney's last foray into healthcare reform. As governor of Massachusetts, Romney successfully pushed a law that guaranteed coverage for all state residents and included a requirement that people buy insurance — an individual mandate similar to Obama's.
Romney moved away from that plan during the Republican primaries and has shown no signs of returning to it. Indeed, his emerging plan would make it all but impossible for any state to follow Massachusetts' example.
While offering consumers more choices, Romney's plan would give companies strong incentives to stop providing insurance to workers. It also would overhaul the 46-year-old Medicare and Medicaid programs for the elderly, poor and disabled.
The plan could swell the federal deficit; a similar plan backed by Sen. John McCain (R-Ariz.) during the 2008 presidential campaign would have cost more than $1 trillion over 10 years, on par with the price tag for the Obama healthcare law.
Romney now regularly criticizes Obama's healthcare law as government overreach and an attack on American free enterprise.
"It's easy to forget how often candidate Obama assured us under 'Obamacare,' nothing in our insurance plans would have to change," Romney said recently at the National Rifle Assn. annual meeting.
But unlike Obama's healthcare law, Romney's plan could fundamentally change the rules for the more than 150 million Americans who get insurance through their employers. These workers get a large tax break because their health benefits are not taxed. Businesses that provide insurance also get a break because their contributions to their employees' health plans aren't taxed.
In place of that system, Romney would give Americans a tax break to buy their own health plans, regardless of whether their employers offered coverage.
"This gets greater consumer choice so that people can buy what they want, not just what their employer wants to give them," Romney said last year while explaining his plan at the University of Michigan.
Conservative healthcare experts offer several reasons for such a change. The main one is that the tax law needs to be revised to bring free-market competition to the healthcare system.
"It is absolutely essential if you are going to reform the health insurance market to change the tax treatment of health insurance," said Robert Moffit, a senior fellow at the Heritage Foundation. "It is the 800-pound gorilla in the healthcare debate."
Moreover, the current system effectively discriminates against Americans who do not get health benefits at work. They must buy coverage on their own and do not get the same tax break.
Many experts think the current system also pushes up healthcare costs because it gives employers an incentive to provide generous health benefits, which are tax-free, rather than pay higher wages, which would be taxed.
Romney would make a parallel change in Medicare — giving seniors the ability to shop for their own health plans with vouchers rather than use the existing government-run program. That proposal, which resembles a budget plan proposed by Rep. Paul D. Ryan (R-Wis.), would represent the biggest change to the federal entitlement program since its creation in 1965.
Supporters argue that with Medicare, as with insurance for working-age adults, free-market competition would lower costs. But the shift could force seniors to pay thousands of dollars more for their care, according to analyses of similar proposals by the nonpartisan Congressional Budget Office.
The third leg of Romney's plan would convert the Medicaid program for poor and disabled Americans into a series of block grants to states.
The budget office estimates such a move would cut hundreds of billions of dollars from the healthcare safety net and force major new limits on care. It would also effectively make another Massachusetts experiment impossible. Romney's plan as governor depended on a 20% bump in federal aid that the state received.
Conservative healthcare experts think that scaling back government and letting more people shop for their own coverage would drive down prices. Insurers would be freed from regulation and consumers would get an incentive to pick lower-cost options, they say.
But this approach is largely untested on the scale Romney has discussed. Critics say it would put the health insurance of millions of Americans at risk.
For example, if workers had the ability to shop anywhere for a health plan, and if companies no longer got tax breaks, some employers would likely stop providing health coverage. That might be fine for young, healthy workers who could buy plans on their own. But older or sicker workers would lose the protection they now receive by buying insurance within a group. If young adults opted to buy low-cost plans that provided limited benefits, prices could rise sharply for middle-aged workers who are more likely to have chronic health problems.
Under the McCain plan, more than 9 million fewer people would have received health benefits through their jobs, according to an estimate from the Lewin Group, a healthcare consulting firm.
Giving tax breaks to all Americans to get health insurance also can cost a lot.
"It is basically impossible to do this in a way that doesn't cost money," said Gail Wilensky, a former Medicare and Medicaid administrator who has advised several GOP presidential candidates.
When Bush offered his plan, he proposed to pay for it in part with more than $400 billion in new taxes on American workers and businesses. Romney has not said whether he plans to include any new taxes in his plan.
The Romney campaign declined to answer a series of detailed questions about how his healthcare plan would be financed, how many people would be affected and how it would affect medical bills, healthcare providers and sick Americans without health coverage.
"He will continue to fill in the details as the campaign progresses," spokeswoman Andrea Saul said.
[URL="http://www.latimes.com/health/la-na-romney-healthcare-20120423,0,2324970,full.story"]Source.[/URL] (Don't complain about the picture. I just post whatever comes with the article.)
So he's saying that he wants it to be possible for poor Americans to possibly be going in and getting cheap healthcare that may do more bad than good instead, instead of helping them? This is why I think Republicans are stupid, they try to purposely fuck over honest men and woman who may not have millions of dollars to afford the best doctors and healthcare available.
[quote]benefits of competition to healthcare[/quote]
Benefits like overcharging for medicine and using people as cash cows.
wait so now the romney-ites have gone from pretending it never happened to actively endorsing it now that he's in the clear for the candidacy?
[QUOTE=Lankist;35681014]wait so now the romney-ites have gone from pretending it never happened to actively endorsing it now that he's in the clear for the candidacy?[/QUOTE]
This essentially sums up Romney in a nutshell
Change stance and views on subject every week.
This is the kind of logic that makes you build a wooden table, when you've got a perfectly good belly for breaking clams on...
[QUOTE=Lankist;35681014]wait so now the romney-ites have gone from pretending it never happened to actively endorsing it now that he's in the clear for the candidacy?[/QUOTE]
Not exactly.
[QUOTE]It also sharply contrasts with Romney's last foray into healthcare reform. As governor of Massachusetts, Romney successfully pushed a law that guaranteed coverage for all state residents and included a requirement that people buy insurance — an individual mandate similar to Obama's.
Romney moved away from that plan during the Republican primaries and has shown no signs of returning to it. Indeed, his emerging plan would make it all but impossible for any state to follow Massachusetts' example.[/QUOTE]
[QUOTE=Hidole555;35681208]Not exactly.[/QUOTE]
The individual mandate is just an excuse for Republicans to hate it, they'd hate it no matter what the bill did. After all they call it Obamacare to emphasize on the part they don't like, Obama.
I'm sorry, but if we're giving people tax breaks to shop their own insurance, that means the government is getting less money. In that case, can't just the government just provide it instead?
Why don't we just dissolve the government! Debt defeated and Obama can't win an election that isn't there :downs:
I bet they'd be smug as fuck if they managed to pull something as retarded as this off. :suicide:
[QUOTE=Bomimo;35681192]This is the kind of logic that makes you build a wooden table, when you've got a perfectly good [B]tummy[/B] for breaking clams on...[/QUOTE]
FTFY.
[QUOTE=Funcoot;35681367]I'm sorry, but if we're giving people tax breaks to shop their own insurance, that means the government is getting less money. In that case, can't just the government just provide it instead?[/QUOTE]
because "SOCIALISM."
[QUOTE=Mr. Someguy;35681011]Benefits like overcharging for medicine and using people as cash cows.[/QUOTE]
so? your average company doesn't do that- if a company is charging too much for a product, you find another company to buy it from, and then that original company that sold it for too high will drop their price when enough people do it.
business competition is the best thing for customers.
[QUOTE=Amplar;35682413]business competition is the best thing for customers.[/QUOTE]
For customers, yeah I see your point. For [B]patients[/B]? No. Hospitals should not be treated like businesses. It encourages an attitude that accepts risking lives as long as money is being made.
[QUOTE=Amplar;35682413]so? your average company doesn't do that- if a company is charging too much for a product, you find another company to buy it from, and then that original company that sold it for too high will drop their price when enough people do it.
business competition is the best thing for customers.[/QUOTE]
So who'll be stuck with the discount medicine which produces more side effects and has a higher instance of them? Which side do you think will be stuck with discount medical insurance which doesn't cover as many procedures?
I'm guessing not the wealthy..
Gon be gud when the people get shittier rates because 1 person trying to bargain with a large corporation is impossible whereas your business/place of work/union/state/country would have much larger ability to bargain.
[QUOTE=Dwarfy77;35680905]So he's saying that he wants it to be possible for poor Americans to possibly be going in and getting cheap healthcare that may do more bad than good instead, instead of helping them? This is why I think Republicans are stupid, [b]they try to purposely fuck over honest men and woman who may not have millions of dollars to afford the best doctors and healthcare available.[/b][/QUOTE]
welcome to the economy.
Romney: "I am a man of principles... and if you don't like them? ... I have others!"
[QUOTE=Amplar;35682413]so? your average company doesn't do that- if a company is charging too much for a product, you find another company to buy it from, and then that original company that sold it for too high will drop their price when enough people do it.
business competition is the best thing for customers.[/QUOTE]
They're in the business of making money, not giving a shit about whether you can afford their services or not. If they know that what they offer can make quick and large profits, they aren't going to ask less for it. Especially with something like healthcare, which people NEED, regardless of whether they can necessarily afford it or not.
Also, on thread topic, I believe this fails to address the fact that we allow medical companies to charge whatever the hell they feel like for goods and services. And honestly the end results seem to be the same as Obama's healthcare plan, why not just stick with the altogether less complicated, already implemented plan? If one of Romney's campaign points is reforming the current tax system, why is he going to muck it up this hard before he even enters office?
>Obama
>revolutionary
"While offering consumers more choices, Romney's plan would give companies strong incentives to stop providing insurance to workers."
Amazing. Mitt Romney 2012
So, letting businesses off the hook for providing health insurance and giving people a pittance tax break to buy a plan with a massive deductible and shitty coverage. Brilliant.
"Don't get sick, or if you do, die quickly."
The notion that the Affordable Care Act was revolutionary in the first place is a bit of a laugh, but regardless this part right here should tell you immediately that this is probably a bad idea:
[quote]Critics and independent analysts say the impact would probably leave a larger number of Americans without insurance.
Conservative healthcare experts say changes along those lines would bring the benefits of competition to healthcare and that basic restructuring is needed.[/quote]
Hmm, critics and Independents? Or Conservatives, people already more aligned to Romney?
[QUOTE=Amplar;35682413]so? your average company doesn't do that- if a company is charging too much for a product, you find another company to buy it from, and then that original company that sold it for too high will drop their price when enough people do it.
business competition is the best thing for customers.[/QUOTE]
guess when you were in high school you missed the econ chapter on oligopolies
And how businesses operate period
With Romney in power no doubt that any major cut to social services offered to seniors will be gladly accept and approved(Medicare and Social Security).
I think we should tighten up on what constitutes a mentally stable person and how we determine them not to be a danger to society. Because THAT GUY is a fucking danger to everyone but himself and his equals...
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