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ehagedorn - > The Pulse -> Governor's health plan flatlines
Governor's health plan flatlines

If the governor's health care proposal is one of the patients it is trying to help, that patient is gasping for air, bleeding out on the table.

In other words: The Senate Health Committee voted down the proposal yesterday.

From the L.A. Times:

Lawmakers called the plan, which passed the Assembly last month, "fundamentally flawed" and "a fairy tale" as a visibly frustrated Nuñez, sitting in the committee room, muttered disagreement under his breath. Senators said the proposal, while laudable in its ambitions, might fall apart financially in a few years, leaving the state to cancel its new health care services or put taxpayers on the hook for billions of dollars more.

Senators said it was too risky a financial commitment when California faces a $14.5-billion budget gap that could force them to cut existing health care programs. Schwarzenegger has proposed $2.9 billion in health care cuts over the next 18 months.

Parts of the bill — including a cap on insurers' profits, a requirement that health care providers reveal their costs for procedures, an increase in the state's tobacco tax to help provide insurance subsidies and a levy on hospitals so California could qualify for more federal money — could be proposed and passed later, the story goes on to say. 

How do you feel about this? Are you relieved or disappointed?

Gov. Schwarzenegger sounds optimistic, despite the vote:

“Despite the Senate’s rejection of our comprehensive health care reform bill, I want the people of California to know I will not give up trying to fix our broken health care system.  The issue is too important and the crisis is too serious to walk away after all the great progress we have made.  The problems will not disappear.  In fact, they are likely to get worse.
 
“Hard-working Californians will still live in fear of having their coverage terminated if they get sick or of being denied coverage due to a pre-existing condition. Medical bills will still drive millions of people into personal bankruptcy. Too many people will still be one serious illness away from financial disaster. A mother with a sick child will still wait up to 10 hours in a jam-packed emergency room unless we stabilize hospital finances and get more people covered. Businesses and families will still get hit with double-digit cost increases until we rein in those costs. Chronic conditions like diabetes and heart disease will continue to afflict people and cost us billions until our health care system gets aggressive about prevention and wellness.
 
“When I proposed comprehensive health care reform in my 2007 State of the State speech, I knew that it would be difficult to fix our broken system. If it were easy, California would have gotten universal coverage 60 years ago – that’s when Governor Earl Warren’s reform plan fell short by a single vote.
 
“I thank Speaker Núñez and the Assembly for their hard work in getting health care reform to this point. 
 
“I am someone who does not give up. Especially when there is a problem as big and as serious as health care that needs to be fixed.  One setback is just that -- a setback.  I still believe comprehensive health care reform is needed in California.  We will keep moving forward. I can promise you that.”

To refresh your memory on health care reform, look at these past discussions from this blog:

Is health reform dead?
Poll: Californians favor health care overhaul
Assembly passes health reform legislation
'Standard for the rest of the nation'
Governor's plan carries penalties for people who opt out of health coverage


 

Posted in these Groups:
Topics: health, medicine, Politics, health care reform, Schwarzenegger, government, uninsured
posted by ehagedorn on Tuesday, January 29, 2008 at 02:51 PM
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posted by ehagedorn on Jan 29, 2008 at 03:06 PM

This is from the California Labor Federation:

Statement of Art Pulaski, Executive Secretary-Treasurer, California Labor Federation
 
“California’s unions have worked tirelessly for years to create affordable health care options for all Californians, and today’s Senate vote will not deter us from that goal. There have been several good elements of AB 1x 1 that have led us to believe that our legislators can make real health care reform possible in California. For example, the bill included language to increase transparency and prevent denial of coverage for pre-existing conditions.
 
“But there remain several concerns with AB 1x 1. In December, we requested critical amendments be made to AB 1x 1 to make health care coverage more affordable and create a fairer employer fee structure. While those amendments were not taken, we remain hopeful that these conversations will serve as the building blocks for health care reform legislation in California.
 
“We will redouble our efforts to make health care more affordable for working and middle-class families. This year, we are also sponsoring legislation that will provide more rate oversight on health insurance companies. And we continue to work with our allies to expand affordable coverage options.
 
“Momentum is also building for a federal health care solution to our health care crisis.  We look forward to engaging our members in winning meaningful reform with a new Democratic president.” 
 

posted by ehagedorn on Jan 29, 2008 at 03:07 PM

From the California Hospital Association:

"The California Hospital Association (CHA) is disappointed that AB X 1 1 (Núñez, D-Los Angeles) will not reach the Senate Floor.  CHA remains committed to comprehensive health care reform and we look forward to continuing to work with Governor Schwarzenegger and the Legislature to achieve that goal.

"California’s health care system is irretrievably broken.  More than 6.5 million Californians are uninsured.  California’s Medi-Cal program is the worst paying Medicaid program in the nation. These Achilles heels must be fixed.  Comprehensive health care reform will require the best efforts of elected officials and stakeholders.  This will continue to be a top priority for CHA."

— C. Duane Dauner, president of the California Hospital Association

posted by robbwillis on Jan 29, 2008 at 04:04 PM

“California’s unions have worked tirelessly for years to create affordable health care options for all Californians, and today’s Senate vote will not deter us from that goal."

What a giant, steaming load of manure that statement is. Ah yes, unions; pure as the driven snow...

posted by ehagedorn on Jan 29, 2008 at 06:21 PM

The California Nurses Association/National Nurses Organizing Committee is happy the proposal didn't pass. Read their press release.

Here are their top-10 problems with the bill (their bolding, not mine):

  1. Employers would have had strong incentives to drop or sharply reduce union-negotiated benefits. Large employers like Wal-Mart would have received corporate welfare for dumping employees into the public pool.
  2. Forced individuals to purchase insurance policies without knowing the real cost or what coverage they would have received and let employers off the hook from providing benefits.
  3. No restrictions on increases in premiums, co-pays, or deductibles. No meaningful cost controls on rising costs, making the supposed affordability protections meaningless.
  4. Workers would not have known what benefits they were getting — the insurance industry would have been in charge. Failed to identify covered benefits for the minimum plans which were likely to be bare-bones HMO plans without dental, vision, mental health, long-term care, and other essentials — all of which would have cost extra.
  5. Managers could have gotten better benefits than workers. As long as employers paid a minimum amount to a state pool for bargain-basement healthcare, employers could have gotten rid of all benefits for unionized employees.
  6. Instead of providing real benefits, employers could have met their coverage obligation by spending money on "wellness programs," gym memberships, or health savings accounts. Employees who declined that "offer" of coverage would then have been ineligible for the public subsidized pool and have had to buy private insurance policies on their own.
  7. Part-time employees did not have to be offered benefits, and employers could have misclassified workers as "independent contractors" and not offered them even the minimal coverage offered full-time employees. Union trust funds would have been undercut by the low employer mandate because the cheap plan become the new ceiling — no employer would want to pay for better benefits.
  8. Workers who did not get benefits faced harsh penalties if they did not buy insurance, including garnishment of wages or mortgage liens, but there were no penalties for employers who did not comply.
  9. Once employers eliminated their union benefits and workers were forced into a poorly financed state HMO, the funding source for that HMO was not sustainable. The funding in part was tied to a tobacco tax, so if fewer people smoked, there was less money for the plan. Other sources were equally shaky — like a fee on hospitals that ended in five years. The state legislative analyst projected a $3.9 billion dollar shortfall.
  10. The levels of care that people received would have been different. Hospitals where wealthier people get care would have received more money while public hospitals would have been undercut because they would have lost patients, while counties would have paid up to $1 billion in new unfunded costs for the uninsured.
     
posted by Neverleft on Jan 29, 2008 at 07:57 PM

Thank God there is still a little bit of sanity in Sacramento.

1

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