The Prof
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1. The CBO's amiable scoring of the Baucus bill, accounting it at a cost of 829B with a deficit reduction of 81B, is based on TEN YEARS OF REVENUES AND ONLY SEVEN YEARS OF OUTLAYS.
2. But Baucus brooks far more bothersome bugaboos.
3. It "severely undermines the employer rationale for offering insurance" to his employees in the first place.
4. And when bosses bag on the bonuses budgeted by Baucus, "the foundation of the bill [will] pretty much collapse."
5. In other words, the debt will bloat obscenely.
6. Baucus imposes an injury of only $400 per worker on companies that cancel their coverage.
7. Ie, employers are exorbitantly incentivized to intermit insurance.
8. The overwhelming majority of employees, meanwhile, also come out way ahead when their coverages are cancelled.
9. Their out of pocket costs to provide for themselves are capped at 13% of income.
10. But their benefits are far more bounteous, and the bureaucracy under Baucus is obligated to bear the burden of the balance.
11. At both ends, the deficit is dealt deadly dents.
The Baucus health-care bill's negative repercussions - Oct. 9, 2009
12. CBO says Baucus is paid for, and it is.
13. But only by banking on bogus bookkeeping such as budgeting TEN YEARS OF REVENUES AND ONLY 7 YEARS OF EXPENSE.
14. And only at the cost of 404B in cuts to Medicare and Medicaid, forcing individuals to insure themselves, fining those who don't, taxing small biz, pushing impossible mandates upon already bankrupt states, and placing painful impounds on payroll packages currently possessed mostly by unionists and residents of the dark blue Northeast.
15. It also leaves 50 million Americans out until 2013.
16. And even when implementation is complete in Year 3, according to CBO, some 25 million citizens will still stay uninsured.
17. This is how Baucus bankrolls his 829B bonanza.
18. Do you really think that Senators Lincoln, Conrad, Landrieu, Carper, Bayh, Nelson, Nelson, Dorgan, Pryor, Feingold and a dozen others don't know these things?
19. And do you really think they're going to place such punitive impairments on their people for the pure pleasure of their party and prez?
20. W-Stands-For-What's-His-Name used the exact same accounting intrique-ery to underwrite his Medicare prescription plan.
From AP, via the Reno Gazette Journal.
Wait for benefits is 3 years if health care passes | rgj.com | Reno Gazette-Journal
The Prof
2. But Baucus brooks far more bothersome bugaboos.
3. It "severely undermines the employer rationale for offering insurance" to his employees in the first place.
4. And when bosses bag on the bonuses budgeted by Baucus, "the foundation of the bill [will] pretty much collapse."
5. In other words, the debt will bloat obscenely.
6. Baucus imposes an injury of only $400 per worker on companies that cancel their coverage.
7. Ie, employers are exorbitantly incentivized to intermit insurance.
8. The overwhelming majority of employees, meanwhile, also come out way ahead when their coverages are cancelled.
9. Their out of pocket costs to provide for themselves are capped at 13% of income.
10. But their benefits are far more bounteous, and the bureaucracy under Baucus is obligated to bear the burden of the balance.
11. At both ends, the deficit is dealt deadly dents.
The Baucus health-care bill's negative repercussions - Oct. 9, 2009
12. CBO says Baucus is paid for, and it is.
13. But only by banking on bogus bookkeeping such as budgeting TEN YEARS OF REVENUES AND ONLY 7 YEARS OF EXPENSE.
14. And only at the cost of 404B in cuts to Medicare and Medicaid, forcing individuals to insure themselves, fining those who don't, taxing small biz, pushing impossible mandates upon already bankrupt states, and placing painful impounds on payroll packages currently possessed mostly by unionists and residents of the dark blue Northeast.
15. It also leaves 50 million Americans out until 2013.
16. And even when implementation is complete in Year 3, according to CBO, some 25 million citizens will still stay uninsured.
17. This is how Baucus bankrolls his 829B bonanza.
18. Do you really think that Senators Lincoln, Conrad, Landrieu, Carper, Bayh, Nelson, Nelson, Dorgan, Pryor, Feingold and a dozen others don't know these things?
19. And do you really think they're going to place such punitive impairments on their people for the pure pleasure of their party and prez?
20. W-Stands-For-What's-His-Name used the exact same accounting intrique-ery to underwrite his Medicare prescription plan.
Sixty years is how long Democrats say they’ve been pushing for legislation that provides health care access for all Americans. They’ll have to wait another three if President Barack Obama gets a bill to sign this year.
Under the Democratic bills, federal tax credits to help make health insurance affordable for millions of low- and middle-income households won’t start flowing until 2013 — after the next presidential election. But Medicare cuts and a sizable chunk of the tax increases to pay for the overhaul kick in immediately.
The eat-your-vegetables-first approach is causing heartburn for some Democrats. Three years is a long time to wait for dessert, and opponents could capitalize on misgivings about the complex legislation to undo what would be a signature achievement for Obama.
“The real danger is that health reform could be vulnerable to what we see with the stimulus package,” said Democratic health policy consultant Peter Harbage, referring to criticism that Obama’s $787 billion economic plan hasn’t stemmed rising unemployment. “There needs to be more focus on what can you do quickly so that real people will start seeing change sooner, rather than later.”
Said Judy Feder, a senior health official in President Bill Clinton’s administration: “Just as we are fending off ideological attacks to get the bill passed, we will be fending them off as we implement the law.”
It took President George W. Bush’s administration two years to phase in the Medicare prescription benefit, a more modest undertaking.
“It’s very important to get the execution right,” White House budget director Peter Orszag told The Associated Press in a recent interview.
There’s another reason, less talked about: to make the costs of the plan seem more manageable under congressional budgeting rules.
Lawmakers use a 10-year accounting window to assess new programs. Starting the Medicare cuts and some of the taxes in the early years — and pushing the bulk of new spending into the latter years — helps keep the cost of the health care overhaul within Obama’s $900 billion limit. Bush used the same kind of maneuver to push the Medicare benefit through Congress.
“It means that the full cost of the program is underestimated in the 10-year window that you are looking at,” said Gail Wilensky, who ran Medicare for former President George H.W. Bush. “It’s not like we’ve never seen this before, but people need to understand what’s going on.”
Yet all of that has failed to make much of an impression on the Congressional Budget Office, the umpire of the costs and benefits of legislation. The CBO estimates that under the Senate Finance Committee bill, the number of uninsured will stay stuck around 50 million from 2010 through 2012, until federal tax credits start flowing the following year.
From AP, via the Reno Gazette Journal.
Wait for benefits is 3 years if health care passes | rgj.com | Reno Gazette-Journal
The Prof