okay here's the official health care web site:http://www.barackobama.com/issues/pdf/HealthCareFullPlan.pdfUnfortunately it has no actuarial tables (which is what any insurance company
uses to determine how many people, how many procedures and what the probabilities
are of each being in need/needed , to determine health care premiums required of customers).
Admitedly I'm showing the parts I have questions about, but it is 15 pages and probably
would be closer to 1,500 if details were attempted...here goes:---------------------------
His plan promises:(1) OBAMA’S PLAN TO COVER THE UNINSURED. Obama will make available a new national health plan which will give individuals the choice to buy affordable health coverage that is similar to the plan available to federal employees. The new public plan will be open to individuals without access to group coverage through their workplace or current public programs. It will also be available to people who are self-employed and small businesses that want to offer insurance to their employees.
The plan will have the following features:
Guaranteed eligibility. No American will be turned away FROM ANY
INSURANCE PLAN because of illness or pre-existing conditions.(bump those rates the first time)...
Affordable premiums, co-pays and deductibles. Participants will be charged
fair premiums and minimal co-pays for deductibles for preventive services.
(what is afforable? say you make $25,000 a year what would premiums be for a man
of a particular age group? is that Chicago-affordable? ) Subsidies. Individuals and families who do not qualify for Medicaid or SCHIP but still need assistance will
receive
income-related federal subsidies to keep health insurance premiums
affordable. They can
use the subsidy to buy into the new public plan or purchase a private health care plan.
(how much will subsidies be? who pays for them? how much is required for that guy
making $25,000 a year?) Quality and efficiency. Participating
hospitals and providers that participate in the new public plan will be
required to collect and report data to ensure that standards for health care quality, health information technology
and administration are being met.
(wait a minute, what happened to confidentiality of health records?)...
(2) NATIONAL HEALTH INSURANCE EXCHANGE. To provide Americans with additional
options, the Obama plan will make available a National Health Insurance Exchange
to help individuals
who wish to purchase a private insurance plan. The Exchange will act as a watchdog and help reform
the private insurance market by creating rules and standards for participating insurance plans to ensure
fairness and to make individual coverage more affordable and accessible. Through the Exchange, any
American will have the opportunity to enroll in the new public plan or purchase an approved private plan, and
income-based sliding scale subsidies will be provided for people and families who need it.
Insurers would have to issue every applicant a policy, and charge fair and stable premiums
that will not depend upon health status. The Exchange will require that all the plans offered are at least
as generous as the new public plan and meet the same standards for quality and efficiency.
Insurers would be
required to justify an above-average premium increase to the Exchange.
The Exchange would evaluate plans and make the differences among the plans, including cost of services, transparent.
(3) EMPLOYER CONTRIBUTION.
Employers that do not offer meaningful coverage or
make a meaningful contribution to the cost of quality health coverage for their employees will be required to contribute
a percentage of payroll toward the costs of the national plan.(4) MANDATORY COVERAGE OF CHILDREN. Obama will require that all children have
health care coverage. Obama will expand the number of options for young adults to get coverage by allowing
young people up to age 25 to continue coverage through their parents’ plans.
(5) EXPANSION OF MEDICAID AND SCHIP. Obama will
expand eligibility for the
Medicaid and SCHIP programs and ensure that these programs continue to serve their critical safety net function.
(how much and to whom...at what cost?)(6) FLEXIBILITY FOR STATE PLANS. Due to federal inaction, some states have taken the lead in health care reform.
These efforts are laudable and are helping to lead the way toward meaningful health care reform. The Obama plan
is a national one that builds on these efforts, and
it will not replace what states are doing. Indeed, states can continue
to experiment, provided they meet the minimum standards of the national plan.
(doesn't this leave a loophole for rich states to opt out of the group, reducing the savings to poorer folks?)...
Barack Obama believes we must dramatically
redesign our health system to reduce inefficiency and waste and improve health care quality, which will drive down costs for families and individuals. The Obama plan will improve efficiency and lower costs in the health care system by: (1) offering federal reinsurance to employers to help ensure that unexpected or
catastrophic illnesses do not make health insurance unaffordable or out of reach for businesses and their employees (2) ensuring that patients receive and
providers deliver the best possible care; (3) adopting state-of-the-art health
information technology systems; and (4)
reforming our market structure to increase competition.
(#1 sounds good. #2 how? #3 there's that data bank again #4 - like top line in paragraph - who redesigns and reforms?)...One of the
keys to eliminating waste and missed opportunities is to increase our investment in comparative effectiveness reviews and research. Comparative effectiveness studies provide crucial information about which drugs, devices and procedures are the best diagnostic and treatment options for individual patients. This information is developed by reviewing existing literature, analyzing electronic health care data, and conducting simple, real world studies of new technologies.
Obama will establish an independent institute to guide reviews and research on comparative effectiveness, so that Americans and their doctors will have accurate and objective information to make the best decisions for their health and well-being.
(this sounds like the guidelines on procedures and costs of reviews developed by HMOs. how much payroll, how many square feet of office, how much in monthly utilities, hardware and software makes an "institute"?)...Obama will tackle the root causes of
health disparities by addressing differences in access to health coverage
and promoting prevention and public health (see below), both of which play a major role in addressing
disparities.
He will also challenge the medical system to
eliminate inequities in health care by requiring hospitals and health plans
to collect, analyze and report health care quality for disparity populations and holding them accountable for any differences found;
diversifying the workforce to ensure culturally effective care;
(health disparities? I thought that was income-based, which subsidies would address, is something else included? another set of
reports and data for health care quality for disparity populations? oh that won't cost anything...

and tell me this how the
heck do you
diversify the workforce to ensure culturally effective care? Is this a new affirmative action program nestled
in the national health insurance bureaucracy?)
...
Obama will also promote new models for addressing
physician errors that improve patient safety, strengthen the doctor-patient
relationship, and
reduce the need for malpractice suits.
(explain how you do this...to me and the trial lawyers...please.)Obama will invest
$10 billion a year over the next five years to move the U.S. health care system to broad
adoption of standards-based
electronic health information systems, including electronic health records.
(a figure! but it's removing confidentiality again.)...his plan will
force insurers to pay out a reasonable share of their premiums for patient care instead of keeping
exorbitant amounts for profits and administration.("reasonable", "exorbitant"...figures please!)...a quarter of schools adhere to nutritional standards for fat content in school lunches.
Obama will work with schools to create more healthful environments for children, including assistance with contract policy
development for local vendors,
grant support for school-based health screening programs and clinical services, increased financial support for physical education, and educational programs for students.(new school programs in the national health insurance program...spreading out funding further...)...the existing workforce is further challenged by inadequate training about new health threats such as
bioterrorism and avian flu, antiquated funding and reimbursement mechanisms, and limited access to real-time information and technical support. Barack Obama will
expand funding—including loan repayment,adequate reimbursement, grants for training curricula, and infrastructure support to improve working conditions— to ensure a strong workforce that will champion prevention and public health activities.
(more programs...this time for terrorism and infrastructure.
)...Preventive care only works if Americans take personal responsibility for their health and make the right decisions in their own lives – if they
eat the right foods, stay active, and stop smoking.(explain to me how this works...no white sauce? duck fat? get off the couch and walk 10 miles a day mandatory? quit smoking a must? just tobacco?)And finally,
the government must examine its own policies, including agricultural, educational, environmental and health policies, to assess and improve their effect on public health in this nation. As President,Barack Obama will prioritize all of these activities, to ensure a 21st century public health system and healthy America.
(now national health insurance stretches into agriculture and enviroment as well as education?)----------------
Don't get me wrong I haven't read much about Hillary's plan yet...but dam*n! Can you see the general election debate?
Commentator: "Senator Obama what will that cost for the guy making $25,000 a year? How many jobs, machines and office space will
it require and at what cost? Must you weigh a certain amount, have a certain fat percentage, stop smoking to get the
no-prior conditions status? Do we all have to be as slim and healthy as you?"
What if I like my health, dental and vision insurance even though I have to pay co-pays through the nose...because
I can go to whom I want to, when I can schedule individually? This stuff is just a bit polyanna to me...I think I understand
Ron Paul...and John McCain's hands-off approaches more than I do these vast plans on a national scale...after all, remember I
work for local government and we still deliver the joke line: "I'm from the government and I'm hear to help you."