Healthcare is the hot button issue in today’s politics. Both sides have very strong opinions on the topic. Those on the right say “if you want health care so bad, buy it! If you can’t afford it, tough nuggets! “ Those on the left however say “Access to health is a basic right, and a nation as powerful as ours should be able to provide that service to all citizens.” Both sides however, agree that a great deal of reform must be done.
So the argument really boils down to basic liberal vs. conservative principles – the constant need to ensure a high standard of living for all, vs. the constant need to ensure a high standard of living for those who’ve earned it. Both sides raise very valid points, as well as some… let’s say not so plausible ones. In the end it all boils down to money. Liberals tend to want to use money to serve as many people as possible (which is falsely interpreted as socialism) while conservatives want to maximize personal wealth (which is falsely interpreted as selfishness and greed.) The problem with using money to serve as many people as possible (especially during a recession/depression) is the finite amount of capital in the coffers, which can only be made up in tax increases (since we can’t cut too many programs because we “need” them). The problem with amassing personal wealth is capitalism. It is the nature of capitalism that for one person to amass wealth, someone also has to lose wealth. Also, many people become addicted to making money, and do so with little to no consideration for others. Outlined here is the crux of the problem.
But enough pandering to both sides of the argument… this is the L Comment! And here at the L Comment, I like to come up with solutions to big problems because we can point fingers at each other all day and not move an inch. So without further ado, I present my new bill (I believe my third) The American Healthcare Act of 2009! This is the ultimate healthcare plan that will make everyone happy.
To begin, why are republicans so disgusted with the idea of public health care? Two reasons – cost and quality. Any other argument is a subset of the aforementioned issues.
Anything that involves increase a tax, republicans hate it. They also fear losing options because the government will swallow up big business. In my bill, government healthcare and private healthcare HAVE to coexist.
Article 1: All Americans are guaranteed $3,200 worth of medical services per year By utilizing a healthcare information technology (IT) network, each American will be entered into a national healthcare database. (Put you Ayn Rand books away, if you have a social security card, then you are already in a database!) This database would include your healthcare chart, family history chart, other relevant healthcare info (such as current prescriptions) as well as a healthcare credit. Each citizen is guaranteed $3,200 in free medical costs per year (this number is derived from the $960 Billion dollars already allocated for healthcare - let us for argument’s sake take Obama at his word - divided by 300 million, the rounded up estimate of legal American citizens.) At the end of the year the debit would reset to $3,200. Thus, if a person used all the money, they’d get it all back on January 1st. Likewise if their debit was at $3,100, the system would only add $100 on January 1st.
This money would go towards paying for basic medical services. Without insurance today, it costs about $750 to get a checkup. Since most people go to the doctor twice a year, this essentially would give a person 2 checkups and two visits, with money left for free medicine (prescriptions and over the counter). The goal is to provide some kind of assurance that one could go to a clinic, not an emergency room, to treat an illness because they know they can see a doctor at a clinic if they need to. For people working in government jobs, they could qualify for a Public Premium Plan (PPP). With a PPP, An employer adds an additional $9000 per year on the premium, which would give that individual $12,200 of coverage per year. This saves businesses about $3000 a year per person in health insurance costs. For private enterprise, they can offer their workers a Private Enterprise Plan (PEP). A PEP works just like a PPP, except they cannot participate in both a PEP and private option. Also, a PEP can chose a from a few more packages - $5000, $9000, or $12,000. If a private enterprise wanted to go with an all public option, they could with the $12,000 PEP, but since the public package offers nothing but healthcare credit, it is not always advantageous for private enterprise to use a public plan. Smaller businesses could use the $5000 PEP to save money, while still adding a little more assurance.
Article 2: Credits can be reallocated between family membersFamily members can pool their credits together. Divorced couples can only pool money together with written consent. Thus in a family of 4, a family has $12,800 worth of healthcare credits (which is the avg. price of healthcare per year.) Children who claim dependent status (or after they turn 25) can no longer be included in the pool. This allows a family without private insurance more flexibility with doctor appointments and access to medicine.
Article 3: Non basic healthcare is paid for through loansFor anything larger than basic coverage and medicine, such as a surgery, the public option would involve using a loan process nearly identical to student loans. With the Stafford student loan, the government subsidizes part of the interest and puts a cap on the maximum interest rate (as of July 1st 2009, it went from 6% to 5.6%!) If you have an injury that requires a surgery and do not have private insurance, you can pay for your operation by taking out a government loan, which will also cap the interest rate and subsidize a portion of the loan. Congress can debate on the actual cap %, though 5.6% seems fair to me. The person can choose from several payment options: a 6, 12, 24, 48, 60, or 90 or 120 month payment plan. Obviously one should pay as soon as possible to avoid paying a lot of interest, but a 120 month plan could bring a loan to a very small and manageable price per month. Like the Stafford loan, a person can change the payment schedule or pay the loan in full immediately without penalty.
Article 4: Private Healthcare still plays a big roleNotice that I use the term private healthcare quite a bit. I do think that it is important to maintain a vibrant private healthcare system, because our version of capitalism enforces high standards through competition. All citizens are guaranteed $3,200 from the government, but it is not enough in some cases, namely if you have a chronic condition or a major surgery. Thus, it is still necessary to buy private insurance. There will be a lot of private insurance reform, namely eliminating the denial of coverage due to pre-existing conditions and usage of generic medicine to save costs to name a couple, but the majority of major healthcare use will still be through private insurance. Private insurance companies will be required to be in the same medical database, largely to maintain a uniform system of record keeping and medical chart updates. Unlike the public plan, private insurance could offer many perks, such as a deductible for surgeries rather than taking out a loan, discounts for brand name medicine, and coverage for special operations, such as gastric bypass surgeries. However, under the new system, the public plan is built to coexist with the private plan. By offering a guaranteed $3,200 for basic coverage, that is money that the private insurers don’t have to spend. This can bring premiums down by that much money, lowering monthly payments for those already on a private system. Or they can budget the same amount of money to offer more competitive packages.
Article 5: Americans can choose their own doctor, or keep the one they haveBecause the public plan is only a credit, there are absolutely no restrictions on which doctor one can see. For people using a PPP or PEP, they have maximum choice in the doctor they see because of the amount of credit they have to spend. People on private insurance are bound by the rules of their contract. Because of the complication of being able to choose your doctor under the public system and then having restrictions with private enterprise, I think private insurance companies will allow one to see any doctor. Also, with medical records being stored in a database using a universal protocol, there is little reason not to let one chose their own doctor anyway.
How much does it cost?The price tag of the plan is 960 Billion. This will cost the taxpayers no money and it will not add to the deficit. In fact, it is 40 Billion cheaper than the proposed plan. The money for this plan comes solely from the reallocation of the funds for the current healthcare budget. Given our population is under 300 Million (because illegal immigrants do not have social security cards, they do not qualify to receive any funds.) To pay for the loan subsidies, revenue from the rollback of the Bush tax cuts will be used, as well as accrued interest on healthcare loans (money gains from healthcare gets reinvested back into healthcare). Over time, the costs will start to decline, as most people will not use all of their credit in one year. We should see an all around reduction in price because government offers basic services that private companies do not need to spend, and the number of people using emergency rooms as clinics should sharply decrease.
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If you are on the left, you like this bill because: it offers every American citizen a piece of mind. It seems impossible to fund a full blown healthcare program without raising taxes or cutting a significant number of programs. However, because all Americans can get basic needs met and essentially get free medicine which does include over the counter medicine too, this act is a foundation for a universal healthcare system that is uniquely American in operation. As we pull out of the recession and look forward to better economic days ahead, more tweaks can be made to the system, like increasing the amount of credits per person.
If you are on the right, you like this bill because: you have to admit the idea of a little piece of mind that doesn’t compromise the already budgeted monies and costs nothing for you is a good thing. Moreover, healthcare remains in the domain of the private insurance industry. There are far better perks to getting a private plan that using the public option for credits and loans. In time you can find ways to streamline the process further to save even more money, such as further reform to reduce operational costs to lower the annual healthcare budget. However, and most importantly, this is in no way a government healthcare plan. The government is limited by the extent to which they can pay for health services, so a “government takeover” is no possible in this proposal
I submit this bill to you, readers of the L Comment… what say ye?