PEBO to talk Health Care, Hillary gets the Last Laugh…

As PEBO gets ready to talk health care and announce Daschle for HHS Secretary (10 mins to LIVE coverage); it is useful to review Hillary’s plan for universal coverage and cost-savings. I am hopeful they use this as a template. If we don’t start with a universal mandate we will not get there, and Max Baucus – D-MT, Chairman of the Senate Finance Cmte said this himself at a presser a few weeks ago, laying down his chips..

Ezra Klein spoke to Baucus at the convention about the mandate issue:

MB: Universal coverage, that’s one. Every American has health insurance.

EK: When you say universal coverage, do you mean universal access to coverage or literally ever American is guaranteed, either they have to get through an individual mandate or the government says you’ll have it or…?

MB: More than access. It’s there, it’s there. I’m not sure exactly what it is.

EK: So you need to take it a step further than the Obama campaign?

MB: Well I wouldn’t phrase it that way. He has an individual mandate for children, he doesn’t for others, but I don’t see how you can get meaningful universal coverage without a mandate. It’s pretty hard to get universal coverage without a mandate. You need the large pool to deal with preexisting conditions. It’s very hard to get to meaningful universal coverage without a mandate.

Yes Max it certainly is, and that is why millions of us supported Hillary and found this a STARK contrast in the Obama and Clinton plans…

50lo_080318_baucus

Here is Baucus’ plan on his website which has a banner calling for action, he is serious about the mandate, hooray!:

…A CALL TO ACTION . . .

It is the duty of the next President and the next Congress to reform America’s health care system. In 2009, Congress must take up and act on meaningful health reform legislation that achieves universal coverage while also addressing the underlying problems in our health system. The urgency of this task has become undeniable….

The white paper from Baucus is 98 pages long and the pdf can be found here.

“Once affordable, high-quality, and meaningful health insurance options are available to all Americans through their employers or through the Exchange, individuals would have a responsibility to have health coverage. This step is necessary for insurance market reforms to function properly and to end the cost shifting that occurs within the system. It is expected that the vast majority of American employers would continue to provide coverage as a competitive benefit to attract employees. Except for small firms, employers that choose otherwise must contribute to a fund that would help cover those who remain uninsured.”

PEBO and Daschle seem to be ahead of the pundits talking down the health care plan and have prepared for duel fronts of action, WSJ, which has had an ongoing editorial page battle with Baucus about their coverage of his plans, reports:

Former Senate Majority Leader Tom Daschle is being named to duel posts this morning: secretary of health and human services, and head of a new White House office on health reform, giving him a prominent perch for a major push for health care legislation. For Daschle, the double duty is meant to avoid the scenario that unfolded in the Clinton administration, where the White House took the lead on health reform and left Donna Shalala, who was HHS secretary, largely on the sidelines.

Many of the groups that fought Hillary’s plan in 93 are now on board much to the chagrin of the WSJ Editorial Page:

…They may succeed, which is no surprise given that many corporations would be only too happy to dump their health liabilities on the government. The “Divided We Fail” coalition, which advocates “universal” coverage, includes not only usual suspects like unions and AARP but also the Business Roundtable and the National Federation of Independent Business, the small-business lobby that led the charge against HillaryCare…..

-snip-

…This mentality is nicely captured by Tom Daschle, the former Senate Majority Leader who Barack Obama has tapped to run Health and Human Services. “I think that ideological differences and disputes over policy weren’t really to blame,” he writes of 1994 in his book “Critical,” published earlier this year. Despite “a general agreement on basic reform principles,” the Clintons botched the political timing by focusing on the budget, trade and other priorities before HillaryCare.

President-elect Obama will not make the same mistake. Congressional Democrats are already deep into the legislative weeds, while Mr. Daschle is organizing the interest groups and a grassroots lobbying effort. Mr. Obama may be gesturing at a more centrist direction in economics and national security, but health care is where he seems bent on pleasing the political left….

Hillary’s plan (see after the jump)  sounds just like Baucus’ plan, methinks our Hillary has had the last laugh, PEBO will have to fight Baucus to keep out the mandate he fought through the primary..and I could not be happier..

APTOPIX Democrats Unions

Hillary’s plan as presented at George Washington University in May of 2007:

HRC: “If we spend so much, why does the World Health Organization rank the United States 31st in life expectancy and 40th in child mortality; worse than Cuba and Croatia?”

Clinton used the event to unveil her seven point plan to tackle the spiralling healthcare costs:

  1. Focus on prevention: wellness not sickness. For example the retailer Safeway changed their whole employee healthcare system to incentivise and resource preventive activity and their healthcare costs stayed flat when the rest of the country’s went up by 7.7 per cent. Clinton mentioned incentivising insurers by requiring those that deal with federal employee healthcare to bring in preventive strategies.
  2. Use more computer technology: to increase security and accessibility of records, reduce costs and errors, and share research. For instance at the moment if you get taken into an emergency department they can’t access your medical records to find out your history and current use of medication. After Katrina, many people’s medical records were lost because they were on paper and damaged by the floods. “In fact, if all hospitals used a computerized physician order entry system, an estimated 200,000 fewer adverse drug events would occur, saving roughly 1 billion dollars per year”, said Clinton as a cost saving example.
  3. Co-ordinate and streamline the care of chronically ill patients. The cost of caring for this patient population accounts for 75 per cent of national healthcare spend, said Clinton, something that she found “astonishing”. She gave an example of a streamlined co-ordinated system that was already working in Oregon, where an elderly patient with several conditions was having her care managed and co-ordinated centrally to ensure her treatments were compatible and working together.
  4. Offer individuals and small businesses market access to larger insurance pools. The purpose of this part of the plan is to “lower costs and end insurance company discrimination against people with pre-existing conditions,” said Clinton. She sees this as part of a system of universal coverage, where “insurance companies cannot as easily shift costs through cherry picking and other means”. This means that people with pre-existing conditions would be offered insurance on a par with others, “prohibiting insurance companies from carving out benefits or charging higher rates to people with health problems”.
  5. Improve the quality of care to help drive down costs: for example by “establishing an independent public-private Best Practices Institute”. Clinton envisages the Institute being “A partnership among the public and the private sector, to finance comparative effectiveness research, so that doctors, nurses and other health professionals, as well as consumers and businesses, would know what drugs, devices, surgeries and treatments work best”. She cited a recent study by Dartmouth researchers that found close to one third of the 2 trillion dollars spent in the US goes to care that is “duplicative and fails to improve patient health”.
  6. Get prescription drug costs under control. Americans pay the highest prices in the world for prescription drugs; and yet in most instances the research and development of those same drugs was carried out and funded in America. Clinton said studies had shown that branded drugs were up to 55 per cent more expensive in the US, with the top selling brands over 200 per cent more expensive, compared to other industrialized nations. The cost of prescription drugs as a percentage of total healthcare costs is going up faster in America than anywhere else. An important part of the solution would be to allow Medicare to negotiate for lower drug prices, to allow importation of cheaper drugs, and generics.
  7. Reform medical malpractice: in a way that works for doctors and patients alike. By way of example, Clinton offers one alread in use: “I have offered one solution that has been used successfully at the University of Michigan Hospital system. It’s called the National Medical Error Disclosure and Compensation (MEDiC) Act as I have borrowed it from the University of Michigan to put it into law”.

When addressing how these changes would be financed, Clinton stressed the self funding nature of her seven point plan:

“The money we save from the waste we eliminate and the way we change how we care for people should be used to help finance coverage for the 45 million Americans who have no insurance. Also, when you insure everyone, it will maximize the impact of the prevention programs I have recommended — with earlier care as opposed to emergency care — as well as cutting administrative costs.”



Advertisements

December 11, 2008. Tags: , , , , , , , , , , , , , . Cabinet, Center for American Progress, Economy, Foreclosures, Healthcare, Hillary Clinton, Housing, Obama Administration, Politics, Popular Culture, TARP, Wall St.

5 Comments

  1. Another Tax Cheat in the Cabinet? Tom Daschle, HHS Nominee, you are ’shameful’!! « Moderate in the Middle replied:

    […] on health care after helping scuttle UHC in 93…pullleezze…he had to take Hillary’s life’s focus for his post Senate career, yeah imagine what a therapist would say […]

    Like

  2. aarp health insurance rates in | Digg hot tags replied:

    […] Vote PEBO to talk Health Care, Hillary gets the Last Laugh… […]

    Like

  3. history of computer security | Digg hot tags replied:

    […] Vote PEBO to talk Health Care, Hillary gets the Last Laugh… […]

    Like

  4. PEBO to talk Health Care, Hillary gets the Last Laugh… « Moderate … at Hillary Clinton On Best Political Blogs replied:

    […] PEBO to talk Health Care, Hillary gets the Last Laugh… « Moderate … It’s very hard to get to meaningful universal coverage without a mandate. Yes Max it certainly is, and that is why millions of us supported Hillary and found this a STARK contrast in the Obama and Clinton plans… 50lo_080318_baucus … […]

    Like

  5. PEBO to talk Health Care, Hillary gets the Last Laugh… at Hillary Clinton On Best Political Blogs replied:

    […] PEBO to talk Health Care, Hillary gets the Last Laugh… As PEBO gets ready to talk health care and announce Daschle for HHS Secretary (10 mins to LIVE coverage); it is useful to review Hillary’s plan for universal coverage and cost-savings. I am hopeful they use this as a template. If we don’t start with a universal mandate we will not get there, and Max Baucus – D-MT, Chairman of the Senate Finance Cmte said this himself at a presser a few weeks ago, laying down his chips.. Ezra Klein spoke to Baucus at the convention about the mandate issue: MB: Universal coverage, that’s one. Every American has health insurance. EK: When you say universal coverage, do you mean universal access to coverage or literally ever American is guaranteed, either they have to get through an individual mandate or the government says you’ll have it or…? MB: More than access. It’s there, it’s there. I’m not sure exactly what it is. EK: So you need to take it a step further than the Obama campaign? MB: Well I wouldn’t phrase it that way. He has an individual mandate for children, he doesn’t for others, but I don’t see how you can get meaningful universal coverage without a mandate. It’s pretty hard to get universal coverage […] […]

    Like

%d bloggers like this: