CBO report on Health Care costs (Full Version)

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tazzygirl -> CBO report on Health Care costs (3/18/2010 7:34:14 AM)

Health care bill to cost $940 billion
March 18, 2010: 10:14 AM ET


WASHINGTON (CNN) -- The non-partisan Congressional Budget Office estimates that the Democrats' revised health care bill will cost $940 billion over the next 10 years, a House Democratic source told CNN Thursday.

CNN has not seen the numbers directly yet nor has the CBO released them publicly. But, according to the source, the bill would cut the deficit by $130 billion during the first decade. And it would reduce the deficit by another $1.2 trillion in the following decade, the source said.

The measure extends health insurance coverage to 32 million Americans, helping to guarantee that 95% of Americans will be covered, the source said. It also reduces Medicare expenditures by 1.4% annually while extending Medicare's solvency by at least 9 years, the source added.

The source also told CNN the $940 billion price tag is fully paid for. But what's not clear yet -- and what may be revealed later Thursday -- is just how Democrats plan to pay for the bill.


http://money.cnn.com/2010/03/18/news/economy/CBO_health_care_budget.cnnw/index.htm

Thought a new thread to just address the costs of health care reform was in order. The full report, as the article says, has yet to be released. Should make for some interesting and lively debate. [:D]




ThatDamnedPanda -> RE: CBO report on Health Care costs (3/18/2010 8:25:56 AM)

quote:

the bill would cut the deficit by $130 billion during the first decade. And it would reduce the deficit by another $1.2 trillion in the following decade, the source said


That might be ballgame right there. The total cost is a bit higher than hoped, but with that amount of deficit reduction, it meets enough of the fundamental criteria that it should swing the vote. They were only 11 short, and this should be a big enough lever to pry 11 loose.

And the key is, by lowering the deficit, it legitimizes the use of reconciliation. Now the reconciliation process is being used to lower the deficit.




pahunkboy -> RE: CBO report on Health Care costs (3/18/2010 8:58:27 AM)

$3 071.89  per head.




tazzygirl -> RE: CBO report on Health Care costs (3/18/2010 9:00:54 AM)

now, pahunk, here is where i want to tell you to take your meds because what you said seems so far of left field concerning the topic. care to elaborate?




Musicmystery -> RE: CBO report on Health Care costs (3/18/2010 9:13:39 AM)


quote:

ORIGINAL: pahunkboy

$3 071.89  per head.



Since the current real cost of health insurance averages $13,000/year and steadily climbs faster than inflation, $3,000 a head would be an amazing accomplishment.




pahunkboy -> RE: CBO report on Health Care costs (3/18/2010 9:56:18 AM)

divide the cost by the number of people.

I am sure my number is low.




Musicmystery -> RE: CBO report on Health Care costs (3/18/2010 9:57:37 AM)

If it's still less than $13,000, it's still progress.

Hell, it'd be progress even to freeze it at $13,000.







pahunkboy -> RE: CBO report on Health Care costs (3/18/2010 10:03:06 AM)

I take that to mean in additional costs= not either or.

What has gone down in price in the past 30 years ?

Not much.

Besides I am like a digit short.    a trillion $ is a lot of money even when you chop it up per 306 million people.




tazzygirl -> RE: CBO report on Health Care costs (3/18/2010 10:03:57 AM)

pahunk, your number is a tad bit high if you estimate that there are 330 million people in the US.

ETA

my bad, according to the Population Clock

According to the U.S. Bureau of the Census, the resident population of the United States, projected to 03/18/10 at 17:04 UTC (EST+5) is
308,891,788




pahunkboy -> RE: CBO report on Health Care costs (3/18/2010 10:07:11 AM)

next question.

the US is broke.  How do we take out more debt with out pissing off China?   the good folks who fund us.






tazzygirl -> RE: CBO report on Health Care costs (3/18/2010 10:08:13 AM)

We have already pissed them off.. and i thought Japan was in on that too.




pahunkboy -> RE: CBO report on Health Care costs (3/18/2010 10:09:02 AM)

quote:

ORIGINAL: tazzygirl

pahunk, your number is a tad bit high if you estimate that there are 330 million people in the US.

ETA

my bad, according to the Population Clock

According to the U.S. Bureau of the Census, the resident population of the United States, projected to 03/18/10 at 17:04 UTC (EST+5) is
308,891,788


Ok- I accept that number.




pahunkboy -> RE: CBO report on Health Care costs (3/18/2010 10:15:16 AM)

I don't think that the bank crises has passed yet.

Throw into that - is that we are now entering a Social Security crises.

so- China and Japan and others buying our debt is extremely relevant to the argument. 

Medicare and Medicaid- also in crises.

No one is going to budge an inch on the corporate money coming in.   We also can not expect DRs to work for free.  If we pay them any less- why would they want to work?




tazzygirl -> RE: CBO report on Health Care costs (3/18/2010 10:18:09 AM)

Maybe we need to ask the Mayo Clinic how they get their Drs to do it.




pahunkboy -> RE: CBO report on Health Care costs (3/18/2010 10:25:07 AM)

DRs have -  student loans- they have liability insurance.  they have office expenses.

We "could"  start by forgiving DR student loans.

Followed by tort reform.

We then need a new model- not to sell most pills highest price- but a healthy food supply.

The answer is NOT a 2300 bill that no one has read. I promise you that it is not the answer.




Musicmystery -> RE: CBO report on Health Care costs (3/18/2010 10:26:57 AM)


quote:

ORIGINAL: pahunkboy

next question.

the US is broke.  How do we take out more debt with out pissing off China?   the good folks who fund us.





The U.S. is hardly broke. We have substantial net worth.




pahunkboy -> RE: CBO report on Health Care costs (3/18/2010 10:35:25 AM)

http://www.examiner.com/x-34574-Philadelphia-Senior-Health-Examiner~y2010m1d26-Rally-for-the-Pennsylvania-Health-Care-Freedom-Act-Harrisburg-PA


Looks like PA will have an opt out option.




tazzygirl -> RE: CBO report on Health Care costs (3/18/2010 10:39:12 AM)


quote:

ORIGINAL: pahunkboy

DRs have -  student loans- they have liability insurance.  they have office expenses.

We "could" start by forgiving DR student loans.


Not every Dr works in, or from, an office. And i have no problem with deferring a student loan for Drs while they devote time to the community good... so many hours donated for a year of loan forgiveness, deferred while they are working it off, no matter how long it takes.

Mayo Clinic pays medical doctors a fixed salary that is unaffected by patient volume. This practice is thought to decrease the monetary motivation to see patients in large numbers and increase the incentive to spend more time with individuals. Salaries are determined by the marketplace salaries for physicians in comparable large group practices.

http://en.wikipedia.org/wiki/Mayo_Clinic

An interesting interview.
http://www.npr.org/templates/story/story.php?storyId=113052504&ft=1&f=1027

quote:




Followed by tort reform.



Ok. Explain to me the incentive for insurance companies to lower malpractice insurance rates? 1 percent reduction to health care costs overall isnt enough. Actually, its just a drop in a bucket.

quote:



We then need a new model- not to sell most pills highest price- but a healthy food supply.

The answer is NOT a 2300 bill that no one has read. I promise you that it is not the answer.



Many of us have read that bill. Again, im not totally happy... but i see promise of something much better than what we have now.




tazzygirl -> RE: CBO report on Health Care costs (3/18/2010 10:49:49 AM)


quote:

ORIGINAL: pahunkboy

http://www.examiner.com/x-34574-Philadelphia-Senior-Health-Examiner~y2010m1d26-Rally-for-the-Pennsylvania-Health-Care-Freedom-Act-Harrisburg-PA


Looks like PA will have an opt out option.



Q. Why does Pennsylvania need the Health Care Freedom Act?
A. Efforts are gaining steam in Harrisburg and Washington to take control of your health care away from you and your doctor and put it in the hands of government. Government control means that you will have less freedom to make the health care choices that are best for you and your family. The Health Care Freedom Act will ensure that your health care decisions stay in your hands.

Q. What does the Health Care Freedom Act do?
A. The Health Care Freedom Act will preserve and protect your right to make your own health care and health insurance choices. Specifically, it would protect your right to pay directly for medical services, and it would prohibit you and your family from being penalized for not purchasing bureaucrat-approved health insurance.

Q. Why should the Pennsylvania constitution protect the right of patients to pay directly for health care?
A. Single-payer systems, such as Canada, make it illegal for citizens to go outside of the government’s health care plan and contract for their own medical services. The Health Care Freedom Act would make this fundamental provision unconstitutional. Citizens should have the right to pay directly for health care services with their own money. When government controls the dollars, they make treatment decisions based on what is best for government, not what is best for the patient.

Q. Why should the Pennsylvania constitution block penalties for individuals or employers who do not purchase government health insurance?
A. It is important for people to have health insurance coverage, but a government requirement to purchase health insurance is ineffective, bureaucratic, costly and arguably an unconstitutional infringement upon states’ rights. The Health Care Freedom Act would strike at the heart of individual and employer mandates that do not work.

Q. Does the Health Care Freedom Act enable Pennsylvania to block any kind of federal health reform?
A. No. The primary goal of the Health Care Freedom Act is to prevent the Commonwealth of Pennsylvania from enacting an individual or employer mandate, or prohibiting patients from paying directly for medical services. Similarly, the Health Care Freedom Act would not attempt to block implementation of any federal law as long as the federal law does not require an individual/employer mandate, or forbid patients from paying directly for medical services. The Health Care Freedom Act also does not preclude citizens from voluntarily joining the proposed federal “public plan” or “national health insurance exchange.”

Q. What happens if a federal law is passed that challenges the Health Care Freedom Act?
A. If there is a clash between federal law and the Health Care Freedom Act, there will be litigation. But this is a legal battle that has been fought before and won before. We recognize that the Supremacy Clause renders federal law as the law of the land. However, states may provide stronger protection of individual freedoms than the U.S. Constitution allows. In the case of federal-state conflict, courts must balance the competing interests. Several recent Supreme Court cases have upheld the power of states to protect individual freedoms.

Q. Do other states have legislation similar to the Health Care Freedom Act?
A. Yes. Currently, 19 other states have filed legislation and another 10 states intend to file legislation.

http://www.julieharhart.com/HC_Freedom_Act.aspx

Well ill be damned. first time i heard you cant pay for it out of pocket. Drs will have to refuse cash payments?

Ohhhhhhhhhhhhhhhh i get it.. this is a republican push. Gotcha.




Musicmystery -> RE: CBO report on Health Care costs (3/18/2010 10:54:27 AM)

Imagine everyone but PA and a few other states has health care.

Now watch businesses leaving those states under the crush of providing competitive benefits.

Watch citizens realizing their health care sucks leaving the state for better states.

This is nothing but theater. Already they can opt out of Medicare. Yet they don't. Imagine.




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