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	<title>Comments on: Obama Maintains Health Care Will Be Budget Neutral</title>
	<atom:link href="http://donklephant.com/2009/07/11/obama-maintains-health-care-will-be-budget-neutral/feed/" rel="self" type="application/rss+xml" />
	<link>http://donklephant.com/2009/07/11/obama-maintains-health-care-will-be-budget-neutral/</link>
	<description>Big Teeth. Huge Ass. Surprisingly Reasonable.</description>
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		<title>By: ExiledIndependent</title>
		<link>http://donklephant.com/2009/07/11/obama-maintains-health-care-will-be-budget-neutral/comment-page-1/#comment-508801</link>
		<dc:creator>ExiledIndependent</dc:creator>
		<pubDate>Mon, 13 Jul 2009 01:51:58 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15536#comment-508801</guid>
		<description>It&#039;s potentially budget-neutral for the government, it&#039;s not budget-neutral for someone who works and has employment insurance right now.  Budget-neutral is just OHT (Obama Happy Talk) that is mildly persuasive for people who don&#039;t want to look at the issue more deeply.  

Speaking of looking at the issue more deeply, what think you about Readthebill.org?</description>
		<content:encoded><![CDATA[<p>It&#8217;s potentially budget-neutral for the government, it&#8217;s not budget-neutral for someone who works and has employment insurance right now.  Budget-neutral is just OHT (Obama Happy Talk) that is mildly persuasive for people who don&#8217;t want to look at the issue more deeply.  </p>
<p>Speaking of looking at the issue more deeply, what think you about Readthebill.org?</p>
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		<title>By: Nick Benjamin</title>
		<link>http://donklephant.com/2009/07/11/obama-maintains-health-care-will-be-budget-neutral/comment-page-1/#comment-507742</link>
		<dc:creator>Nick Benjamin</dc:creator>
		<pubDate>Sat, 11 Jul 2009 19:59:54 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15536#comment-507742</guid>
		<description>Budget neutrality is very possible. Wyden&#039;s plan is just one example. Get rid of the employer tax exemption, fire MediCare advantage, encourage doctors to try cost-effective procedures first, etc. When you&#039;re spending double what the Brits do on health care, and not getting significantly better health outcomes finding cash is not hard.

The trick is getting 60 votes for any method of increasing revenue. McCain&#039;s support for dumping the employer tax exemption is one reason he got his ass kicked last November, MediCare Advantage wouldn&#039;t exist if lots of Senators didn&#039;t have an ideological attachment to private for-profit insurance, and &quot;encouraging Doctors to try low-cost procedures&quot; has historically been spun into &quot;forcing Doctors to give you inferior medical care.&quot;

To top it off the GOP is in full opposition mode. Obama&#039;s ideas will be bitterly opposed by the minority no matter what. I&#039;d hope McCain would still support ending the Employer tax exemption, but in this political environment that may not happen.

BTW, keep in mind that Obama does have the option of using reconciliation to force his program through. Reconciliation is the best option for the Senate&#039;s GOP leadership, but it&#039;s not great for any of the other players in this game. It&#039;s a very blunt instrument. He could expand MediCare. Arguably that would be good for patients, but it&#039;s 100% clear that doing so would screw insurers (fewer customers) and providers (MediCare doesn&#039;t pay very well).

He probably won&#039;t be able to convince 218 reps and 50 sens to go along with truly universal MediCare, but even Medicare at 55 would greatly reduce the amount hospitals and doctors receive from private insurance.

Which means that as October approaches the health lobby will be a lot more amenable to any deals Obama offers.</description>
		<content:encoded><![CDATA[<p>Budget neutrality is very possible. Wyden&#8217;s plan is just one example. Get rid of the employer tax exemption, fire MediCare advantage, encourage doctors to try cost-effective procedures first, etc. When you&#8217;re spending double what the Brits do on health care, and not getting significantly better health outcomes finding cash is not hard.</p>
<p>The trick is getting 60 votes for any method of increasing revenue. McCain&#8217;s support for dumping the employer tax exemption is one reason he got his ass kicked last November, MediCare Advantage wouldn&#8217;t exist if lots of Senators didn&#8217;t have an ideological attachment to private for-profit insurance, and &#8220;encouraging Doctors to try low-cost procedures&#8221; has historically been spun into &#8220;forcing Doctors to give you inferior medical care.&#8221;</p>
<p>To top it off the GOP is in full opposition mode. Obama&#8217;s ideas will be bitterly opposed by the minority no matter what. I&#8217;d hope McCain would still support ending the Employer tax exemption, but in this political environment that may not happen.</p>
<p>BTW, keep in mind that Obama does have the option of using reconciliation to force his program through. Reconciliation is the best option for the Senate&#8217;s GOP leadership, but it&#8217;s not great for any of the other players in this game. It&#8217;s a very blunt instrument. He could expand MediCare. Arguably that would be good for patients, but it&#8217;s 100% clear that doing so would screw insurers (fewer customers) and providers (MediCare doesn&#8217;t pay very well).</p>
<p>He probably won&#8217;t be able to convince 218 reps and 50 sens to go along with truly universal MediCare, but even Medicare at 55 would greatly reduce the amount hospitals and doctors receive from private insurance.</p>
<p>Which means that as October approaches the health lobby will be a lot more amenable to any deals Obama offers.</p>
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		<title>By: Tully</title>
		<link>http://donklephant.com/2009/07/11/obama-maintains-health-care-will-be-budget-neutral/comment-page-1/#comment-507739</link>
		<dc:creator>Tully</dc:creator>
		<pubDate>Sat, 11 Jul 2009 19:31:49 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15536#comment-507739</guid>
		<description>&quot;Budget neutral&quot; is double-speak that means that the gov&#039;t raises taxes enough to pay for it, regardless of how high that would send taxation.  

&lt;i&gt;Well, even though health care reform is THE key issue to sustained economic prosperity&lt;/i&gt;

&lt;b&gt;FIRST, define &quot;health care reform.&quot;&lt;/b&gt; If by &quot;health care reform&quot; you mean the types of &quot;reforms&quot; so far proposed in Congress and coming out of the White House, I would challenge you to even attempt to empirically prove that assertion. It&#039;s simply not so. Indeed, I can think of many ways in which the exact opposite is true, where &quot;reform&quot; could destroy economic prosperity.</description>
		<content:encoded><![CDATA[<p>&#8220;Budget neutral&#8221; is double-speak that means that the gov&#8217;t raises taxes enough to pay for it, regardless of how high that would send taxation.  </p>
<p><i>Well, even though health care reform is THE key issue to sustained economic prosperity</i></p>
<p><b>FIRST, define &#8220;health care reform.&#8221;</b> If by &#8220;health care reform&#8221; you mean the types of &#8220;reforms&#8221; so far proposed in Congress and coming out of the White House, I would challenge you to even attempt to empirically prove that assertion. It&#8217;s simply not so. Indeed, I can think of many ways in which the exact opposite is true, where &#8220;reform&#8221; could destroy economic prosperity.</p>
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