WASHINGTON – The health care bill headed for a vote in the House this week costs $1.2 trillion or more over a decade, according to numerous Democratic officials and figures contained in an analysis by congressional budget experts, far higher than the $900 billion cited by President Barack Obama as a price tag for his reform plan.
While the Congressional Budget Office has put the cost of expanding coverage in the legislation at roughly $1 trillion, Democrats added billions more on higher spending for public health, a reinsurance program to hold down retiree health costs, payments for preventive services and more.
Many of the additions are designed to improve benefits or ease access to coverage in government programs. The officials who provided overall cost estimates did so on condition of anonymity, saying they were not authorized to discuss them.
House Speaker Nancy Pelosi has referred repeatedly to the bill's net cost of $894 billion over a decade for coverage.
Asked about the higher estimate, Pelosi spokesman Brendan Daly said the measure not only insures 36 million more Americans, it provides critical health insurance reform in a way that is fiscally sound.
"It will not add one dime to the deficit. In fact, the CBO said last week that it will reduce the deficit both in the first 10 years and in the second 10 years," Daly said.
Democrats have been intent on passing legislation this year to implement Obama's call for expanded coverage for millions, curbs on industry abuses and provisions to slow the rate of growth of health care costs nationally.
"Now, add it all up, and the plan I'm proposing will cost around $900 billion over 10 years," the president said in a nationally televised speech in early September.
Whatever the final cost of legislation, the calendar is working increasingly against the White House and Democrats. While a House vote is possible late this week, Senate Majority Leader Harry Reid, D-Nev., may not be able to begin debate on the issue until the week before Thanksgiving. Additionally, the Republican leader, Sen. Mitch McConnell of Kentucky, has hinted at efforts to extend the debate for weeks if not months, a timetable that could extend into 2010.
One casualty of the time crunch and threatened Republican delaying tactics may be formal House-Senate negotiations on a final compromise. An alternative is a less formal hurry-up final negotiation involving the White House and senior Democrats.
Pelosi and her lieutenants worked on last-minute changes in the measure to ease concerns among opponents of abortion and a contentious provision relating to illegal immigrants. Conservative Democrats have expressed concern about the cost of the bill, and an evening closed-door meeting gave Pelosi and her lieutenants their first chance to hear their response.
The bill includes an option for a government-run health plan.
The leadership can afford more than two dozen defections and still be assured of the votes to prevail on the bill, one of the most sweeping measures in recent years.
Republicans put the cost of the bill at nearly $1.3 trillion.
"Our goal is to make it as difficult as possible for" Democrats to pass it, House Republican leader John Boehner, R-Ohio, said at a news conference. "We believe it is the wrong prescription."
One day after announcing Republicans would have an alternative measure, Boehner offered few details. He said it would omit one of the central provisions in Democratic bills — a ban on the insurance industry's practice of denying coverage on the basis of pre-existing medical conditions.
Instead, he said the Republicans would encourage creation of insurance pools for high-risk individuals and take other steps to ease their access to coverage.
Rep. Mike Pence, R-Ind., the third-ranking leader, said that Democrats looked at their bill as a way to advance universal coverage. In contrast, he said, Republicans "believe the real issue back home is cost" of insurance, and said their alternative would be designed to tackle it.
Democrats have made elimination of the industry's practice a linchpin of their drive to overhaul the health care system. The industry has said it would not fight the change, and an accompanying restriction on its ability to charge higher premiums for certain groups, as the legislation includes a requirement for individuals to purchase insurance. Lacking that, the industry says millions of relatively healthy individuals would refuse to pay for coverage until they became sick, and the cost of premiums would rise sharply for everyone else.
Republicans oppose any government requirements for individuals to purchase insurance or for businesses to provide coverage.
The Congressional Budget Office is seen by lawmakers as the arbiter of claims about the costs and effects of proposed legislation, and the agency has been under intense pressure in recent weeks to compete assessments on several bills circulating in House and Senate.
In a letter last week, the agency's director, Dr. Douglas Elmendorf, said the net cost of expanding coverage in the House measure was estimated at $894 billion over 10 years, a figure reflecting a gross total of $1 trillion in federal subsidies as well as other spending.
The letter contained no similar assessment for the balance of the legislation and it was not clear when or whether one would be forthcoming.
In a letter last week to Sen. Max Baucus, D-Mont., on the general subject of health care, Elmendorf cautioned that some provisions in legislation have elements that raise costs and elements that lower costs.
"Tabulating all of the aspects of the proposal that would, in isolation, increase federal outlays would be complicated and would require somewhat arbitrary judgments" about calculating overall costs, Elmendorf said.
6 comments:
america has been proven to have the worlds best healthcare system. this is not to say that it dosnt have flaws it dose but they are no where near as bad as other countries. take canada for example it takes on average 13 weeks in order to go from a normal doctor to a specialist. within this proposed health care system doctors will be penalized for preforming to many tests i guess it sucks to be someone who has to many symptoms of several diseases.... and i guess doctor house will be out of luck trying to diagnose anyone. not to mention the fact that businesses that supply "Good" health care will be taxed an additional 40% to fund their plan. its sad that people dont see whats happening this world is changing and people need to make a stand or well be in the midst of a nation that cant create a good medacare va system much less run universal health care people need to make a stand dont listen to the liberal news stations alone actualy go out there and research it for your self... you might be suprised at what you find..... UNAPOLOGETICALLY AMERICAN
I do not support this healthcare bill. While it may have some advantages, I think the disadvantages outweigh the advantages. If this health care bill passes, many doctors will lose their jobs and many doctors will receive pay cuts. In addition, people will have to go on a waiting list to see a specialist. This applies regardless of what condition you are in. Furthermore, what I don't think people realize, is that taxes will raise sky-high. Healthcare still has to be funded somehow, i.e., higher taxes. I also think it is very unfair to the many companies that assist people with finding medicare/medicaid or other programs that pay for healthcare tabs. My mother's company, Medical Capital Recovery, is a company that helps people that do not have insurance pay for their medical bills by screening them to see if they qualify for any assistance. If this bill passes, my mom's company is done. Do people not see the negative effects this bill can cause?
Well Peyton, I agree with you on some parts, but on others....I disagree. Canada is massive with only a few large enough towns to have Doctors, that plays a role when moving the sick around you know. This $1 trillion dollar plan is just another major expense that the Democrats what to push so that they get payed more. Im not Republican or any other party, I look at it from a Neutral point on view. May new underlineing meanings and motives come clear when you move to this perspective. I don't think publishing a $1 trillion dollar bill is the smartest thing to do right now with the just recovering economy....infact that might just be the cu de cra that kills the economy. Im happy that people are finally opening their eyes and telling the government no whne it needs to be stopped. Thank you America.
*Exits stage left to the cheers of thousands*
If a universal health care system were to be put in place, then it would reduce competition between existing health care plans, thus making coverage suck for anyone who goes to the doctor for something more than the common cold. I have Lupus, and I just know that if there were a universal health care plan my coverage would drop much lower and my mom would have to start paying over six hundred dollars a month for my medication. My mom's had enough trouble as it is without adding more cost to the mix. Yeah universal health care would be good for those families that couldn't afford normal health coverage, but what about my family? and families like mine? I just think that people should think this through a little more before they go through with it, especially with such a high price to pay for the bill in the first place. It's money that the US just doesn't need to spend all willy nilly.
I personally think that this health care reform isnt going to work.mainly because it isnt that health care isnt offered to the majority of americans it thaat they dont want to pay for it. the reality is that the us does actually have a really good health care system that dosnt need any reformation. when the reform is finilized it will eliminate the thousands of jobs that are provided be health insurance distributiors.and when everyone has equal health insurance everybidys prices for health care is going to go up so either way there isnt going to affordable health care
so as long as this health care plan doesn't cost anything in the long run, it seems it should work. The only thing wrong is that the doctors will get worse and less professional I think.
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