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  • Obstacles to Reform: the Public Plan and the Federal Health Board

    Senate Finance Committee chairman Max Baucus (D-MT) is hosting a Roundtable Discussion on “Expanding Health Care Coverage” today and Heritage fellow Stuart Butler is testifying. While Butler sees “broad consensus for action on coverage” he also identifies “nuclear landmines on the road to broad agreement.” They are a public plan and a federal health board:

    Some say that within an exchange there must be a default plan that will be a “safe harbor,” and that plan should be a public plan – perhaps one modeled on Medicare. But it is important to remember an old sporting adage – if the umpire works for one of the teams you should be suspicious of the score. The simple fact is that if the government is sponsoring a competition within an exchange, and also is the owner of one of the plans, there can be little doubt that the rules and regulations promulgated by Washington will favor the government-sponsored plan. A “competing” public plan as a choice will inevitably become a public plan for all, and is unacceptable. Fortunately, as I note below, there are alternatives to achieve the same stated purpose.

    A powerful federal health board could also undo any consensus. It’s one thing to have a body to spur and distribute cost-effectiveness research, as the new Federal Coordinating Council for Comparative Effectiveness Research will do. It’s quite another to have a board, as others have urged, that is not really answerable to anyone and starts to determine how medical care is to be provided. To be acceptable, any such board must not be a monopoly of information – other clearinghouses should be established in the private sector. And it must not promulgate rules for coverage and professional conduct in the private sector.

    Posted in Obamacare [slideshow_deploy]

    5 Responses to Obstacles to Reform: the Public Plan and the Federal Health Board

    1. Marsha, Wheeling WV says:

      This is not constitutional and should not be considered. National health board is a violation of the 10th Amendment.

    2. Carl Nieman - Fort W says:

      I just don't get it. Canada and England have proven that national health care does not work. The idea that it is an inalienable right to have health care for every american is just not correct. It is an admirable goal, but not really a right. I am not aware of anything that the federal government does that it does not either mess up totally or abuses its power in the oversight. Health care should govern itself and not be subject to a Czar. I am not aware of a single individual in the health care industry that is not aware of the cost factor. HMO's and institutions like it are the answer.

    3. ra,ohio says:

      These subtle attacks on our constitution are alarming.

      The 1st, 2nd, 10th, and the 22nd are being evaluated, possibly others that we haven't heard about.

      Socialistic tendencies are rampant in this administration, and they are going to ram them down our throats within two years because they know the American People are NOT going to re-elect a liberal majority in 2010.

      In the mean time,…take lots of notes.

    4. Marsha, Wheeling WV says:

      Also, a problem with the 3rd amendment as well.

    5. jacksmith says:

      Swine flu (A-H1N1) and Healthcare In America

      Well my fellow Americans, and people of the World. That was yet another very close potential catastrophe. Especially for those of us that live in America with our busted, greed driven, private for profit healthcare system. What ever you do World. Don’t copy our current healthcare system.

      If that virus (A-H1N1) had emerged just a few months earlier our busted healthcare system in America would have collapsed. Just like our economy almost did. And hundreds of thousands more Americans, if not millions would have needlessly lost their lives. As hospital ER’s became choked with the sick, and dying.

      All on top of the hundreds of thousands of Americans who needlessly lose their lives in America each year from a rush to profit by the private for profit healthcare industry. Rich, middle class, and poor a like. Insured, and uninsured. Men Women, Children, and Babies.

      This was yet another big WAKE-UP! call for America, and for our Government. It’s time for Congress to end the debate. And stop dancing around the issues of how they can continue to try and justify protecting the private for profit healthcare industry, and the private for profit healthcare insurance industry. These industries are killing hundreds of thousands of Americans every year in America, and endangering our National security.

      “the health-care system is, first and foremost, for the American people—not the companies that profit from it.” (Tom Daschle | NEWSWEEK)

      IT’S OVER! The Private for profit healthcare experiment in America is dead. It FAILED! And it was a DISASTER!


      Essentially HR676 (enhanced, and expanded medicare for all). Just like every other CIVILIZED! country in the developed World has. There is no other way to truly fix or reform our current disastrous healthcare delivery system. NONE!

      Congress, fix our healthcare crisis while you still have time.

      President Obama, VP Biden, the Obama administration and the rest of his advisors, along with Speaker Pelosi and Harry Reid are doing an excellent job of protecting you. And also an excellent job of representing you and the best interest of the World. But it’s time for the rest of Congress to get on board.

      To those of you who keep standing up and fighting for single-payer universal healthcare for all. YOU! are Americas true HEROES! And I am proud of you. :-) Don’t let up.

      I will have more to say about this VERY! unusual virus (A-H1N1), and flu in general, later. There are some things you really need to know and think about… All of you.

      Till then, God Bless And Keep You All

      Jack Smith — Working Class

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