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Kennedy panel introduces health bill

Posted by Foon Rhee, deputy national political editor June 9, 2009 05:06 PM

After a year of deliberation, the Senate health committee led by Edward M. Kennedy of Massachusetts today formally unveiled its healthcare overhaul bill.

But it's only one of several competing bills that Congress and President Obama will eventually try to reconcile. House Democratic leaders today offered their own proposal that includes a new tax on employer-provided health benefits to help pay for expanding coverage to the uninsured, and a requirement for all individuals to purchase affordable coverage, with an unspecified penalty for those who refuse and a waiver for those who cannot cover the cost.

And the Kennedy panel bill -- the "Affordable Health Choice Act" -- does not for now include one of the most controversial proposals that the committee's Democrats and Republicans are still haggling over -- a public insurance plan that would directly compete with private insurers.

The Kennedy bill also leaves out, pending further negotiation with Republicans, a requirement that employers provide health benefits to workers.

The legislation would require all individuals to have health insurance, ban insurers from refusing to cover pre-existing conditions, and establish online "exchanges" where the uninsured and employees of small companies could shop for affordable insurance.

“Our health care system is a crisis for American families and President Obama and members of Congress of both parties recognize the urgency of the problem. Our goal is to strengthen what works and fix what doesn’t. Over the next few days, we will continue working with our Republican colleagues on common sense solutions that reduce skyrocketing health care costs, assure quality care for all and provide affordable health insurance choices. Much work remains, and the coming days and weeks won’t be easy. But we have a unique opportunity to give the American people, at long last, the health care they need and deserve,” Kennedy said in a statement.

The committee plans a public hearing on the bill on Thursday. To read it, click here. A summary is below.

During Kennedy's battle with brain cancer, Senator Chris Dodd of Connecticut has been deputized to push the legislation. He announced today that Kennedy, who is undergoing treatment, would be unable to attend the committee's working sessions on the bill next week.

“Health care reform cannot and must not wait. Today, we will introduce legislation that will strengthen what works and fix what doesn’t. If you like the insurance you have today, you can keep it. If you don’t like what you have today, we’ll give you better choices, including a public option for health care. This does not symbolize the end of the game or even the end of the first quarter. We still have a lot of work ahead of us and are looking forward to working with our colleagues on a bipartisan basis to resolve the remaining issues and move forward with a mark-up of this legislation next week,” Dodd said in a statement.

The House efforts are being led by three powerful Democrats: Ways and Means Committee Chairman Charles B. Rangel of New York, Energy and Commerce Committee Chairman Henry Waxman of California, and Education and Labor Committee Chairman George Miller of California. To see an outline of their legislation, click here.

“Our Committees are working as one to develop a uniquely-American solution to the health care crisis that is endangering the financial security of individuals and businesses," they said in a joint statement. "This solution will fulfill President Obama's commitment to provide quality, affordable health care for all. This framework will build upon what works by ensuring that patients can keep their health coverage if they like it, preserve patients’ choice and reduce costs. We will also fix what is broken through marketplace reforms, sliding scale credits to make coverage more affordable, and provisions to combat waste, fraud and abuse, strengthen Medicare and Medicaid, and invest in the health care workforce and public health. By improving the current system and offering a public health insurance option to promote honest competition with private insurance plans, we will provide individuals and small businesses with better, more affordable choices.

“We will continue to seek input and work closely with our colleagues, outside stakeholders, and the Administration and are on track to introduce legislation shortly. We anticipate Committee action on health reform in the coming weeks, with legislation on the House Floor prior to the August district work period. Reforming America’s health care system is critical to our country’s long-term economic recovery and long-term fiscal health. We are confident that we will achieve reform that will give Americans peace of mind and return our great nation to a path of prosperity for generations to come.”

Obama met this afternoon with Democrats on the Ways and Means Committee about the healthcare bill. Afterwards, the White House released this statement:

"The President had a productive meeting with Democrats from the House Ways and Means Committee, in which they agreed that health reform legislation must lower costs and expand coverage and must not add to the deficit. The President told the members that he will be spelling out additional savings for Medicare and Medicaid soon. He reiterated his support for his revenue-raising proposal, which would return the itemized deduction rate for the wealthiest Americans back to what it was when Ronald Reagan was President. The President and the members discussed some of the important components of reforming America’s health care system, such as emphasizing primary care, prevention and wellness. They agreed to aim for a timetable in which final passage of the bill would take place in October."

A Quick Summary of the Affordable Health Choices Act

Senator Edward M. Kennedy, Chairman of the Health, Education, Labor and Pensions Committee (HELP), today released The Affordable Health Choices Act, legislation that aims to reduce health care costs, protect individuals’ choices of doctors, hospitals and insurance plans and guarantee, quality and affordable health care for all Americans.

The Affordable Health Choices Act includes the following five major elements:

CHOICE: An important foundation of The Affordable Health Choices Act is the following principle: If you like the coverage you have now, you keep it. But if you don't have health insurance or don't like the insurance you have, our bill will give you new, more affordable options.

COST REDUCTION: The Affordable Health Choices Act will reduce health care costs through stronger prevention, better quality of care and use of information technology. It will also root out fraud and abuse and reduce unnecessary procedures.

PREVENTION: The best way to treat a disease is to prevent it from ever striking, which is exactly why The Affordable Health Choices Act will give citizens the information they need to take charge of their own health. The bill will make information widely available in medical settings, schools and communities. It will also promote early screening for heart disease, cancer and depression and give citizens more information on healthy nutrition and the dangers of smoking.

HEALTH SYSTEM MODERNIZATION: The Affordable Health Choices Act will take strong steps to see that America has a 21st-century workforce for a modern and responsive healthcare system. America must make sound investments in training the doctors, nurses, and other health professionals who will serve the needs of patients in the years to come. It will make sure that patients’ care is better coordinated so they see the right doctors, nurses and other health practitioners to address their individual health needs.

LONG TERM CARE AND SERVICES: The Affordable Health Choices Act will also make it possible for the elderly and disabled to live at home and function independently. It will help them afford to put ramps in their homes, pay someone to check in on them regularly, or any of an array of supports that will enable them to stay in their communities instead of in nursing homes.

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It's amazing that they push for this after seeing the failures of the UK and Canada. But, of course, we all know it's about control, not about everyone getting health care.

It's about controlling who gets what.

Posted by Doug June 9, 09 04:24 PM
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Disappointing without a public insurance plan.

Posted by chandler June 9, 09 04:24 PM
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If you like how the VA, Medicare and Medicade work, you'll love fat Teddy's proposal. Get use to taking a number when you need medical care. Sorry Mrs. Jones, you'll have to wait 6 months to see the politically appointed brain cancer specialist. We'll call you.

Posted by Jane Jones June 9, 09 04:29 PM
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Who will be in charge to see all these great things happen, the people who looked over the financial system? I feel so safe.

Posted by S. A. Fish June 9, 09 04:32 PM
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This won't do it, just giving more customers to broken system ,with taxpayers picking up the tab is Not the answer. Need a government plan to hold insurers feet to the fire.

Posted by Retired PCP June 9, 09 04:35 PM
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All this and all they have to do is raise the cigarette taxes another few dollars. UNIVERSAL HEALTH CARE...A CRUEL HOAX!

Posted by XENOPHONIC June 9, 09 04:36 PM
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Sounds good to me. I have V.A. care and I am grateful! Sometimes I have to wait, but it is free, so I just go with the flow. Interesting how the GOP is sooo afraid of public option, even calling it a government run system. Question: is private insurance companies called Corporate run system? Just saying!

Posted by mike June 9, 09 04:55 PM
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I love how all the naysayers like to point out the few issues that arise in countries like Canada and the UK in regards to healthcare and conveniently miss the GIANT GAPING HOLES in our system. Ask anyone from the Canada or the UK whose system they would rather have? Hands down they all choose the one they have. Why you ask? Because they have good health coverage that they never have to worry about. They will never go bankrupt because of a health related issue, they don't have to worry about losing it when they lose their jobs. And guess what companies are now wanting universal healthcare because the costs are strangling them and killing their competitiveness with every other country.

The only people who don't want it, are the insurance companies and stooges who believe their ads and bought and paid for talking heads.

Posted by mtbr1975 June 9, 09 05:07 PM
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Just the thought of the federal government messing with healthcare sends shivers through me. They've shown what a remarkable job they can do with medicare & medicaid. I have no faith that they can fix a hang nail let alone something as complex as healthcare and insurance.

Posted by Pioneer Girl June 9, 09 05:10 PM
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I am appalled at the negative comments here. Only two states in the US, MA and NY actually define what health insurance is to protect their citizenry. We need programs on the national level, and this first step, and the willingness to work toward a compromise that can get through the system is HUGE. I applaud the effort and hope that we, as a country, know that universal healthcare is something that can be achieved and SHOULD be achieved. Shame on you for the cheap Kennedy potshots and the overall cynicism.

Posted by Nora Williams June 9, 09 05:14 PM
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Blah, blah, blah.
Through legalized bribery, Big Insurance, Big Pharma, and Big Hospital have combined to achieve defacto control of Congress. Therefore, there will always be loopholes tucked away in the fine print of any legislation, "insuring" that these nefarious entities will always be rewarded with obscene wealth at the expense of everyone else.
And they will make sure that universal health care (single payer)--proved by virtually all civilized nations as the most sensible and most fair health care ever adpted--will never, EVER, be adopted here.

Posted by No Bullroar June 9, 09 05:28 PM
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PUBLIC PLAN ,REAL PUBLIC PLAN OR BUST.nothing else will work and 5 years from now people will say dems HAD CHANCE TO USE %! VOTE RESOLUTION TO GET IT AND NEVER USED IT.then it will be shoulda,coulda,woulda time because of a few southern and midwest DEMS want B I P A R T I S A N S H I P,with republican lowlifes...

Posted by steve58 June 9, 09 05:28 PM
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How ingenious of Kennedy. Isn't this just a cut and paste of the miserable MA state plan that everyone claims is a failure.

Let’s see; I think Kennedys thought process was – point, click drag, right click, “copy”, paste. Yes another fine job by the illustrious leader from MA. Fine job you fat, drunk, dumb@ss.

Posted by robt June 9, 09 05:36 PM
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This is such a monumentally flawed idea that it needs to be stopped in it's tracks. I WILL vote out anyone who arroves or in any way supports this nonsense. Only an idiot would believe that private healthcare will survive as we know it. Only the very rich will be able to afford private care and the rest of us masses will be stuck with a broken unfunded non functional system. Why would my employer continue to incur huge costs if they can just throw us in the pool. Just look at the UK if you want to know what you have to look forward to, you will be dying for services literally.

Posted by Bri Lynn June 9, 09 05:40 PM
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How anyone can trust Ted Kennedy on any issue is fully beyond me. But then Democrats do love their dynasties and rock stars don't they?

Posted by Kathy June 9, 09 05:49 PM
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Will members of the Senate have to wait 3 months for an XRay?

Posted by nospamsam June 9, 09 05:58 PM
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"Ask anyone from the Canada or the UK whose system they would rather have? Hands down they all choose the one they have. Why you ask? Because they have good health coverage that they never have to worry about. They will never go bankrupt because of a health related issue, they don't have to worry about losing it when they lose their jobs"

Are you kidding me? Have you talked to anyone in the UK about this? I have. Of course I can't talk to my cousin who died there. 2 weeks before she died they were sending her home, in the fetal position carried out of the hospital by her father - because they close that ward for the weekend.

Or maybe you'd like to talk to my aunt, who has stage 4 lung cancer and is STILL waiting after 6 months for her treatment.

You don't have to worry about it when you lose your job because you'll probably be dead by then anyway.

Posted by rambamrmm June 9, 09 06:03 PM
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In my work related travels, have had better experiences with the health care systems in the UK, France, Canada and even China than I can now expect to get here in my own country. And I can guarantee you that an "average" citizen of any of these countries would not trade places with me when it comes to health care.

Posted by garybtv June 9, 09 06:06 PM
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mtbr1975 -you've got to be kidding--if you are diagnosed with breast cancer,
regardless of the stage, you wait months for surgery and they ration your chemo. If they decide that you're too old, you don't get it at all. You wait 6 months for hip replacement. If you can't work in that 6 months, that's too bad. So what happens to your job then? Maybe the surgery is free, but you don't have home to go to. We have the best healthcare system in the world, a you want the govt to take it over? We'll stop attracting the best and brightest from all over the world and will discourage qualified candidates from going into the field. My grandchildren will be paying for this latest fiasco by the current administration. The last thing they need is more to screw up.

Posted by nospamsam June 9, 09 06:28 PM
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Anyone who continues to say we have the best healthcare coverage in the world should check the world health review, we're at the bottom of all industrial countries. In addition we pay more for our poorer quality health care. We need government run single payer national health care. Nothing less. Joyce A, Wa.

Posted by Joyce Aaker June 9, 09 07:45 PM
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If the Canadian system is such a failure as US Republicans contend why is it only 3% of Canadians when asked would favor moving to the US system of healthcare?

Roger D.

Posted by Roger Danielsen June 9, 09 11:34 PM
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I just want the same coverage as Congress.

Posted by Gerry June 10, 09 09:23 AM
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mtbr.....you are wrong. I am friends with a UMASS professor that just retired, a canadian citizen returning to canada to live out his golden years.....do you think he dropped his state health care plan? No, he chose to keep it and pay the premiums in case he ever has to return here for health care since he knows how long it may take him to get treatment in Canada.

Now show me the facts that made you make your ridiculous claim.

Posted by John June 10, 09 11:12 AM
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I would like to know what 97% of Canadians you are talking to when you cite the only 3% of Canadians who would like the US system. As a citizen of both countries who has lived in both, I can say that each system has its faults, but there is no doubt that the quality of care in Canada is far below that of the United States. Large numbers Canadian with serious illnesses come to the United States for care because they cannot receive it in Canada. As of a few years ago, there were more MRI machines in southeastern PA than in ALL of Canada. The quality of care and technology between the two countries is VAST. Just look at Natasha Richardson, Mt. Tremblant, where she sustained massive head trauma, is a major ski resort, the biggest in Quebec, except when she injured herself, she was unable to get proper care there, and it took them hours to drive to Montreal where the nearest trauma center was because there was no medivac. Ya, great system they got up there. Now, the US system has its own problems as well, but a massive public system trending toward Canada is not what we need, it will reduce the quality of care and tech. significantly. Just look at all the private clinics opening up in Canada, more and more each day, people want to pay for good healthcare. We need a competitve system that rewards good care and punishes waste and corruption. Competition is the only way to promote innovation and keep quality care.

Posted by Dan June 10, 09 11:41 AM
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Single payer universal has gotten slimed by the health care insurance lobbyists. The administrative fees of private health care offerers are 25-28%, the administrative fees of Medicare are 2-4%. Medicare is single payer. Look it up yourself. The mantra of NEOCONS is that we will have the government between us and the doctors. The truth is that now we have the insurance companies between us and the doctors restricting coverage and invoking pre-existing conditions all the while paying huge executive salaries and upping the premiums @ 20% annual rate.

Posted by markeyboy June 10, 09 04:34 PM
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H.R. 676, single-payer national health care, is the best way out of this mess. Not the failed ‘Massachusetts model.’ Why not?

1. It fails the “universal” test. Current estimates suggest that, of the 670,000 who were uninsured before mandatory coverage went into effect in 2006, more than 200,000 remain uninsured.

2. It fails the “affordable” test. Health care premiums in MA have risen overall by 10% - 12% a year, about twice the national average. Health insurance costs an average of about $17K a year vs. under $13K nationally, for a family of four. Health-care spending in the state has increased by 28 percent. And the Small Business and Entrepreneurship Council ranks MA dead last in the U.S. for business-friendly health-care policies.

3. It fails the “accessible” test. Higher demand for primary-care physicians has nearly doubled waiting times since 2006. Spiraling premiums have made under-insurance rampant, so more people are opting out of care that falls under deductibles or high co-pays.

The only ones doing just fine are the private health insurers, now rolling in subscribers since mandatory coverage became law.

So exactly what part of this program qualifies as “reform”?

Posted by Eloise June 10, 09 05:33 PM
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If its anything like the massachusettes plan - everyone over 18 forced to have health care or pay penaltiy. Otion for affordable is bad. Don't forget the federal Poverty level and other calculations that determin benefits awarded. You will pay like the lady who only makes $25,000 a year. She has to pay $100 a month. How may of you know how little $25,000 gets you these days and being forced to pay for health care at a govt determined rate based on gross income. It becomes a choice of food vs rent and utilities.

Posted by Concerned Citizen June 15, 09 02:10 PM
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Just follow the money. Look who is opposing the plan in congress and see how much money they get from the insurance industry. Republican and Democrats alike are guilty. Democrats should be more ashamed though...they are completely screwing the middle class. The naysayers are bought and paid for.
And for all the stories of how bad it is in U.K. or in Canada, there are a countless number of worse stories here in the good old USA. I mean when it's bankruptcy or death what kind of choice is that???

Posted by Andrew Cylkowski June 19, 09 03:20 AM
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I have family and many close friends who have lived in Canada, the U.K., and other forign nations. My family has served in the US Military. I was a Military dependant who "lived under government-run health care". I have read the proposed plans and this is my opinion:
1. Health Systems in Canada and the U.K. are more than sufficient. Friends and Family under these systems DO NOT wish for the US system. A close friend did not have to wait for a MRI when she had need. I never had to wait for a X-ray as a military dependant.
2. Focus in these systems is on PREVENTATIVE CARE. People do not have to become desperate for care before they seek medical advice.
I urge those who are undecided to look at the sources of negative opinion and thier probable motivations. Thank you for your time and attention.

Posted by Maggie B. August 29, 09 12:13 PM
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