At the White House's urging, Congress is going to try to
overhaul America's health-care system -- a sixth of the entire US
economy -- in the next three weeks. The 1,018-page House bill and
the 615-page Senate bill are now available for your reading
pleasure.
Plenty of juicy and unpleasant details will come dribbling out
over the next few days, as analysts and reporters plow through the
mind-numbing texts and parse the fine print. But the basic picture
is clear -- and it's ugly.
If President Obama signs either bill into law, he'll be breaking
a host of promises. Neither the House nor Senate would guarantee
that you can keep your private health plan if you like it. Or that
patients will retain their relationships with their doctors.
And that bit about cutting the typical family's health costs by
$2,500 a year? A howler, if there ever was one. Deficit neutrality?
Level playing field for plan competition?
Fuhgeddaboudit.
Each bill would create a new government health plan to compete
against private insurers. In the House version, this "competition"
would take place via a "national health insurance exchange," a new
entity run by a "Health Choices Commissioner." In the Senate, a
"public plan" would compete against private health plans through
federally supervised state entities called "gateways."
Either way, taxpayers would assume the risks. The private plans
would be heavily regulated by the government, but otherwise "on
their own" -- in a highly qualified matter of speaking.
In the House bill, the government plan would pay doctors and
hospitals on the basis of Medicare rates -- rates that are so low
that more and more doctors have stopped taking new Medicare
patients.
The bill would collect an estimated $818 billion in new taxes
over 10 years.
The problem with soaking the rich, though, is that sooner or
later you run out of rich people.
These impressive tax and spending schemes, combined with fines
and penalties, lie deep in the bills' complex provisions. The
congressional leadership hopes that you, like the lawmakers who
passed the giant stimulus bill, won't read them. Fool them, and
find out what they plan to do to you.
Robert
E. Moffit, Ph.D., is Director of the Center for Health Policy
Studies at The Heritage Foundation.