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Waxman: Health overhaul this year; public plan "critically important"

Posted by Lisa Wangsness, Political Reporter January 29, 2009 03:38 PM

WASHINGTON -- Representative Henry Waxman, whose Energy and Commerce Committee has primary jurisdiction over healthcare in the House, today underlined his commitment to passage this year of a major healthcare bill that would extend coverage to all 47 million Americans without insurance.

Waxman, speaking at a luncheon at the Mayflower Hotel, where the liberal group Families USA is holding a conference on health reform, dismissed recent rumbles that a swelling deficit, partisanship and delay could sap political momentum for a bill.

"This is the time," he said. "This is the year."

The Senate has so far taken the lead in the healthcare discussion; Senators Max Baucus and Edward M. Kennedy have been working for the better part of a year on policy options, quietly meeting with an array of business, insurance, medicial and consumer groups in hopes of finding consensus on volatile issues.

Today Waxman weighed on a couple of those.

He said it was "critically important" to offer a public insurance plan option, like Medicare, to those without insurance. This is anathema to the insurance industry, which believes private insurers cannot fairly compete with a public plan that can unilaterally decide what it pays doctors and does not have to turn a profit. Waxman said "creative tension" between the public and private realms could benefit both.

Waxman said he could support requiring everyone to buy insurance -- something that Baucus backs but President Obama opposed in his campaign -- as long as people can buy insurance that is truly affordable. The question of what "affordable" means is likely to be sticky, however, particularly if the government mandates generous insurance plans and people who now consider themselves insured have to upgrade what they've got. He also promised "aggressive regulations and oversight" of the insurance industry, saying "strong rating and underwriting rules and effective regulatory structures" would be necessary.

Waxman declined to comment as he left the luncheon on whether he thought the tax exemption for employer-sponsored insurance should be modified. Obama campaigned strongly against his Republican rival John McCain's plan to get rid of the provision that excludes health benefits from the income tax, but many leading Democrats, including Baucus, think it must be considered as a way to make the system more aggressive and to help pay the cost of covering the uninsured.

He also said he would advance legislation requiring the FDA to regulate tobacco products "in a matter of weeks" and a bill on embryonic stem cell research to move "very fast."

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The solution is pretty easy, and is the same one most of the rest of the world has already come to: a two-tier health system

1) a national network of hospitals, clinics, and physicians (made up of exisiing state, county, and rural hospitals and clinics) that would enjoy government support (both financial and in the form of free electronic health records and bulk purchasing discounts) in exchange for accepting Medicare/Medicaid and other government programs

2) a private network of hospitals, clinics, and physicians that are free to set their rates and contract with whichever insurance companies they believe will pay reimbursements sufficient to cover their expenses, without legal resitrictions that prevent this (as exists in California)


Posted by perspectoff January 29, 09 04:54 PM
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The solution is simple: a two-tier healthcare system. 1) A national network of public hospitals, clinics, and physicians that are supported by the government and will accept Medicare/Medicaid/government programs and 2) a private network that is free to set its rates at levels at which it can recoup costs and to contract with whichever insurance companies is chosen, without laws to prevent this (as currently exists in states like California).

Posted by perspectoff January 29, 09 04:58 PM
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Here's my solution to the "health care crisis":

FIRE HENRY WAXMAN AND SHIP HIM BACK TO CALIFORNIA IN A RAISIN CRATE.

Posted by MarkJ January 29, 09 07:54 PM
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RECORD OPPORTUNITY
In the past it’s been difficult for the uninsured, especially children, to receive quality ongoing and follow-up healthcare because there was no previous record of their condition or treatments. Valuable time was wasted gathering basic information, and in some cases essential health histories have been lost. The lack of continuity in treating the uninsured is one of the big problems facing our health system. The SCHIP extension will potentially insure 4 million children, making portable electronic health records more important than ever.
More discussion: www.healthcaretownhall.com

Posted by Jeremy Engdahl-Johnson January 30, 09 11:33 AM
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This is a fairy tale:
Poor people get health care from Medicaid
Poor children from SCHIP
ELderly from Medicare
The 40 million uninusred are working people with jobs who dont qualify for medicaid.
Medicare and Medicaid are hopelessly underfunded by Congress. Doctors are forced to leave these programs. No doctors means no access for patients. The only way to pay for this is by increasing taxes. No one has money for our current taxes. Electronic medical records does not save money and is a scam handout to IT companies. The Massachussetts plan is 3x over budget. California rejected a government run health care plan. This idea is dangerous and poorly thought out, which is why they are trying to ram it thru asap. It is a fairy tale with a scary ending.

Posted by PEL January 31, 09 08:21 PM
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Anyone who thinks electronic medical records are important or a good idea has never worked in a hospital! The money spent on EMR wastes valuable health care dollars and does not treat a single patient or child! In the clinic setting, EMR is not needed and is extremely expensive with NO PROVEN benefit. In emergency settings, we never go looking or old records! If you want immediate records, use insertable chips like we do in lost dogs! It is commericially available to do this for humans. EMR does NOT save money in any way. Large studies have shown that it does not save money compared to the costs. WE dont need more high tec. medicine, we need hands on care of patients. Drop the gimicks, and forget EMR
It is a scam!

Posted by pel January 31, 09 08:46 PM
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This is totally bogus how you pick and choose what to post.
I sent two responses that address this topic appropriately and both were ignored.
Why bother placing a blog if you dont want responses?

-pel

Posted by PEL February 1, 09 01:01 AM
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Why don't you call Claude Castonguay (father of socialized medicine in Canada) ask him what he thinks about a one payer national health care system run by the Federal Government?

Posted by Mark June 11, 09 04:23 PM
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