Pelosi chooses healthcare bill with public option favored by centrists. The Hill.
Speaker of the House Nancy Pelosi is set to introduce a Democratic party crafted health care reform bill with an embedded public option.
Unable to unlock herself from the public option so many are opposed to, she believes this will pass the House.
The proposal calls for the officials who run the public plan to negotiate rates individually with physicians and hospitals.
…public option that is tied to Medicare-based payment rates…
But it has become apparent in recent days that such an option doesn’t have the 218 votes she needs to pass it with no Republican support.
The negotiated rates plan is estimated to cost about $85 billion more than the Medicare-based reimbursements. To cut the number of uninsured without surpassing the $900 billion limit set by Obama, the bill will expand eligibility for the Medicaid healthcare program for the poor. The bill will also include an income surtax on the wealthy to pay much of the cost of the plan.
…a stalemate between abortion-rights supporters and opponents…
Many centrist and rural Democrats say hospitals and physicians in their districts are already underpaid by Medicare. Other centrist Democrats, along with Republicans, oppose the public option entirely, contending that it would put private insurers out of business.
There appears to be so much on the plate of negotiations for this bill the Democrats claim is so necessary. It is clear they are bent upon forcing something upon America to claim some sort of historical victory. But are the avid supporters acting clear-headed, while the pragmatic are telling them the road ahead is paved with landmines?
Many centrist and rural Democrats say hospitals and physicians in their districts are already underpaid by Medicare. Other centrist Democrats, along with Republicans, oppose the public option entirely, contending that it would put private insurers out of business.
Medicare reimbursement rates are a point of contention with many doctors and hospitals. So much so that many doctors do not accept Medicare or Medicaid patients already because they are unable to break even with the level of reimbursement.
What will people do when they suddenly have some sort of government public option, only to find doctors will not accept that coverage?
When Doctors Opt Out. Marc Siegel. WSJ. ”We already know what government-run health care looks like.”
Bottom line: None of the current plans, government or private, provide my patients with the care they need. And the care that is provided is increasingly expensive and requires a big battle for approvals. Of course, we’re promised by the Obama administration that universal health insurance will avoid all these problems. But how is that possible when you consider that the medical turnstiles will be the same as they are now, only they will be clogged with more and more patients? The doctors that remain in this expanded system will be even more overwhelmed than we are now.
The frightening reality is already here, and looks like it will worsen.
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