How convenient that Republicans are running candidates who are already mostly naked.
Makes for MUCH more efficient launching of sordid-sex scandals when they inevitably erupt.
I guess the #2 guys DO try harder!
2014??? Did I read that correctly???? Why do people have to wait until 2014 to get the federal subsidies for health insurance??? Arrrrrgggghhhh!
Medicare for EVERYONE. That's the simplest and most sensible option. It's a public option that has already been proven to work and if it is also used to insure healthy young people it will make it possible for the govt. to up it's reimbursement schedule so that it actually covers the docs and hospitals expenses and they will stop their kevetching about how they aren't getting reimbursed enough to stay in business.
Wow, did I do that in one sentence?
It will be interesting to see how the House responds.
Wasn't a major point of the exchanges and the public option to have one large pool that includes younger, healthier people that are a lower cost? People age 55-64 are an extremely expensive group to insure. It doesn't make sense from an actuarial standpoint to separate them.
@Lymed: I thought about that too, but perhaps they're trying to address the rapidly increasing number of people who are falling into that older age group. Since the elderly and the young make up the largest groups of the uninsured, and since the elderly are typically the greatest users of health care, it seems like working on creating the greatest number of benefits for both groups would make the most sense.
@Six and a Quarter: Yes, but the cost of those benefits will be astronomical. And if it is hoped to be a first step to expand Medicare, then I think the fact that the costs will be so high for this group will prevent a further expansion.
@Lymed: I agree, but am cautiously optimistic that when they are meting out the technical details for implementing these changes, that they'll have figured out a way to adequately finance it all. CHIP seems to be doing pretty well (although it is an imperfect program it does further the goal of providing children with health care), which might be a good indicator of the level of success this expansion program could hope to achieve.
@Six and a Quarter: But it shouldn't just be about finding the financing. What about the people age 55-64 who will never qualify for a subsidy? They will be stuck paying the high premiums. Compared to other options on the table, I'm not impressed by allowing this group to buy into Medicare without a public option for younger adults.
@Lymed: I get what you're saying, and my support of this plan is definitely measured.
I focus on the financing because that is a huge factor in the whole process. Not to keep harping on CHIP, but the program was in threat of going bankrupt before Obama approved its expansion and refinancing back in February. If that had happened, even more children would be uninsured. We have to consider that these bills, once implemented, will require future reauthorization for their continuation. If there is any hope of a Republican run government continuing the measures taken by this government in the future, a show of financial success and health will help the cause.
Filling in the cracks so that the truly needy and worthy don't slip through and addressing the needs of even greater segments of our population is an admirable goal and hopefully the next step. I'm not advocating for throwing more money at failing programs, or for ignoring the truly disenfranchised. But I'm also not for reinventing the wheel when something that has been tested over time has endured.
I've personally watched as laws meant to help revise entire benefit systems end up crippling them in the name of serving the public good. This is too important an issue to have that happen.
A big reason the Senate Democrats want to include the 55-64 age group into Medicare is to get their foot in the door to eventually cover everyone with Medicare.
The second reason is that lots of people 55-64 are getting laid off in this recession and are unable to find new employment - and when/if they do they have difficulty getting insured because of "pre-existing conditions." Obviously when you've been alive 55+ years you've had ample opportunity to gain some "conditions." Also, some employers discriminate against older people because they are fearful their health insurance will cost them more than younger people's insurance.
Putting the 55-64 age group on Medicare will encourage employers to hire them and will help those who are unable to find full-time employment with health insurance.
Also, it will probably allow many in that group who'd like to retire from full-time employment but couldn't afford health insurance to do so - and this will free up jobs for young people.
I see this as a win-win for the older vs. younger worker.
@Six and a Quarter: The difference between this and CHIP is that CHIP is heavily subsidized. Even if a family has to pay a premium, it is discounted. Even for those higher income children for whom they may have to pay the actual cost or close to the cost, the cost of insuring children is much much lower than the cost of ensuring somebody age 55-64.
I'm not talking about the government costs. I'm talking about the actual premium cost to the individual.
@intime: The health bills will get rid of pre-existing condition exclusions, so that won't be a worry anymore.
When Medicare was first passed, it was expected to be expanded to cover everybody. How many decades has it now been? I have absolutely no faith that covering age 55-64 under Medicare would be a first step to covering everybody under Medicare.
Its not great, but this is what HuffPost has gotten out of Senators
--Medicare expansion 55-64
--Public option with a trigger ("Insurance companies will have the option of creating nationally-based non-profit insurance plans that would offered on the exchanges in every state." If the insurance don't offer such plans it will trigger a national public option.)
--Health care exchanges
--Extend a verson of the Federal Employees Health Benefits Plan to all (what Congress has)
--Program that would create several national insurance policies administered by private companies but negotiated by the Office of Personnel Management, which oversees health policies for federal workers
--Medicaid expansion to 133% of poverty (insuring about 18 million people who DON'T have insurance now)
--Private insurance companies required to spend at least 90 cents of every dollar they collect in premiums on medical services for their customers.
--Subsidies for middle class and lower class families to pay for insurance."
@Jim Topoleski: "Private insurance companies required to spend at least 90 cents of every dollar they collect in premiums on medical services for their customers."
How the hell did they get that? It seemed not long ago that JD Rockefeller was struggling to get 85%. If they can enforce this one, I'll be a happy camper.
@Helio: Isn't the figure of what is actually spent on medical services about 70% of premiums collected? They will have to offer more comprehensive plans because it will be the only way they can get enough profit.
@Lymed: I believe that's for plans that have smaller pools of people (the correct terminology is escaping me at the moment). The average pay out, for individual, small/large group plans, is ~85%.
@AmbiguouslyUbiquitous: But if they have to spend 90% of the premium collected on medical services, then if they raise premiums they also have to increase benefits. So people will have to be on more comprehensive plans.
One key point missed in all the veggie chucking is that it's traditionally something done by everyday people to (economic) Royalists.
"Just Plain Folks" don't get pelted by produce: the overly privileged divorced from the lives of the everyday do.
THAT is why it strikes such a chord: it resonates the truth.
@Novaload: Palin is too easy, she really is a fool. I wonder how commenters would react if Nancy Pelosi, Barbara Boxer, Charles Rangel or Barney Frank got pelted. Maybe everybody who disagrees with a politician should just start throwing food at them? I'm down with that.
In Defense of Throwing Tomatoes at Sarah Palin? How about: In Defense of Nominating Sarah Palin as the GOP Presidential Candidate! That would be a win-win, because she would most likely lose, but if she didn't America would deserve her as president.
Incidentally, we should mention that we endorse that tomato-throwing guy if and only if he was chucking very soft, overripe tomatoes which would splatter readily and harmlessly all over Ms. Palin and drip down into her clothes while she was trying to sign books. Also, the tomatoes should have been organic and fair trade!
And right to the face from two stories above, right Adrian?
Right.
Out of curiosity: since the tomato hit a police officer, and, say, that police officer, thinking he was being attacked, I don't know, then drew his weapon and then, oh bother, fired his gun into the crowd, would it still be funny then?
12:59 PM
Makes for MUCH more efficient launching of sordid-sex scandals when they inevitably erupt.
I guess the #2 guys DO try harder!
12:50 PM
Medicare for EVERYONE. That's the simplest and most sensible option. It's a public option that has already been proven to work and if it is also used to insure healthy young people it will make it possible for the govt. to up it's reimbursement schedule so that it actually covers the docs and hospitals expenses and they will stop their kevetching about how they aren't getting reimbursed enough to stay in business.
Wow, did I do that in one sentence?
It will be interesting to see how the House responds.
12:43 PM
12:50 PM
12:59 PM
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01:04 PM
01:13 PM
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I focus on the financing because that is a huge factor in the whole process. Not to keep harping on CHIP, but the program was in threat of going bankrupt before Obama approved its expansion and refinancing back in February. If that had happened, even more children would be uninsured. We have to consider that these bills, once implemented, will require future reauthorization for their continuation. If there is any hope of a Republican run government continuing the measures taken by this government in the future, a show of financial success and health will help the cause.
Filling in the cracks so that the truly needy and worthy don't slip through and addressing the needs of even greater segments of our population is an admirable goal and hopefully the next step. I'm not advocating for throwing more money at failing programs, or for ignoring the truly disenfranchised. But I'm also not for reinventing the wheel when something that has been tested over time has endured.
I've personally watched as laws meant to help revise entire benefit systems end up crippling them in the name of serving the public good. This is too important an issue to have that happen.
12:56 PM
A big reason the Senate Democrats want to include the 55-64 age group into Medicare is to get their foot in the door to eventually cover everyone with Medicare.
The second reason is that lots of people 55-64 are getting laid off in this recession and are unable to find new employment - and when/if they do they have difficulty getting insured because of "pre-existing conditions." Obviously when you've been alive 55+ years you've had ample opportunity to gain some "conditions." Also, some employers discriminate against older people because they are fearful their health insurance will cost them more than younger people's insurance.
Putting the 55-64 age group on Medicare will encourage employers to hire them and will help those who are unable to find full-time employment with health insurance.
Also, it will probably allow many in that group who'd like to retire from full-time employment but couldn't afford health insurance to do so - and this will free up jobs for young people.
I see this as a win-win for the older vs. younger worker.
12:57 PM
I'm not talking about the government costs. I'm talking about the actual premium cost to the individual.
01:01 PM
When Medicare was first passed, it was expected to be expanded to cover everybody. How many decades has it now been? I have absolutely no faith that covering age 55-64 under Medicare would be a first step to covering everybody under Medicare.
01:03 PM
11:05 AM
--Medicare expansion 55-64
--Public option with a trigger ("Insurance companies will have the option of creating nationally-based non-profit insurance plans that would offered on the exchanges in every state." If the insurance don't offer such plans it will trigger a national public option.)
--Health care exchanges
--Extend a verson of the Federal Employees Health Benefits Plan to all (what Congress has)
--Program that would create several national insurance policies administered by private companies but negotiated by the Office of Personnel Management, which oversees health policies for federal workers
--Medicaid expansion to 133% of poverty (insuring about 18 million people who DON'T have insurance now)
--Private insurance companies required to spend at least 90 cents of every dollar they collect in premiums on medical services for their customers.
--Subsidies for middle class and lower class families to pay for insurance."
11:11 AM
How the hell did they get that? It seemed not long ago that JD Rockefeller was struggling to get 85%. If they can enforce this one, I'll be a happy camper.
11:18 AM
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I vote that they'll go with the second option.
01:09 PM
12/08/09
"Just Plain Folks" don't get pelted by produce: the overly privileged divorced from the lives of the everyday do.
THAT is why it strikes such a chord: it resonates the truth.
12/08/09
12/08/09
[www.rferl.org]
So don't dignify the idiot by throwing food at her.
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And right to the face from two stories above, right Adrian?
Right.
Out of curiosity: since the tomato hit a police officer, and, say, that police officer, thinking he was being attacked, I don't know, then drew his weapon and then, oh bother, fired his gun into the crowd, would it still be funny then?