The Health Reform Debate - Myths vs. Facts
Posted on July 13th, 2009 by Jason Rosenbaum in Congress Watch
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As the health reform fight moves forward, the issues people are talking about change. While it once seemed like our biggest battle was over whether we are going to get a strong public health insurance option as part of reform, that question has now joined a host of others in the debate.
Predictably, these new arguments come with their fair share of myths that need to be pushed back on. So here we go…
Myth: Health reform will be paid for by "cutting" Medicare and Medicaid
This is the latest line trotted out by conservatives and picked up by the media, that we're going to cut Medicare and Medicaid to pay for health reform. We're not cutting Medicare or Medicaid, if by cut you mean doing anything that will lower people's benefits. We're finding savings in the program. And that's not just spin.
Here's an example: Right now, Medicaid pays hospitals a sum of money (which varies geographically) to help make up the losses they incur for treating patients that show up in the emergency room without insurance (who hospitals are legally required to treat). After health reform is passed, the number of uninsured in this country will diminish. These payments will therefore become redundant and can be phased out, yielding savings without cutting anyone's benefits.
Myth: We're just waiting for reconciliation on health care so we only need Democratic votes to pass it
This one isn't true…yet. Right now, the Senate is still operating under regular order, which means we will need 60 votes to end a filibuster and cut off debate over a health care reform bill. (Aside: Which Senators are going to be the ones to filibuster health care? People should start asking them that.) There is, however, an October 15th deadline. If the Senate is unable to move a health reform bill under regular order, they must move one under reconciliation by October 15th. So, right now, Harry Reid and other Senate leadership are giving Republicans every opportunity to come on board and vote for real health reform. If they don't come on board, that's what reconciliation is for.
Myth: Health reform will cost too much and put a burden on families
This is the most insidious of the right-wing lies. In reality, the cost of doing nothing on health reform will bankrupt families, and reforming health care will save the average American family thousands per year.
If we don't reform our health care system and bring down skyrocketing costs, the average family will be paying almost $10,000 more per year for health care by 2016 than they do now. Our government will be bankrupt. And we'll spend one in every five dollars in our entire economy on health care, up from the already astronomical one in seven that we spend now. The cost of doing nothing is simply unacceptable, and those against reform are willing to bankrupt families, government and our entire country to serve their obstructionism.
Not to mention that reforming health care will reduce costs for families. According to the Commonwealth Fund [pdf], health care reform that puts everyone in, gives people affordable options, and includes a strong public health insurance option (like that proposed by the House of Representatives) would save the average family $2,228 per year.
Plus, health reform will be fully financed. In the House, it will be paid for by a combination of Medicare and Medicaid savings, a public health insurance option that saves money, and a 1% tax on those that make over a quarter of a million dollars per year.
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Even though these myths are fairly prevalent in the debate right now, there's a silver lining here. The Frank Luntz messaging that was supposed to be the GOP's silver bullet - the health care reform is a Washington takeover leading to rationed care - is largely failing to take hold. And so, we're forced to combat that latest set of conservative talking points. We'll just have to do to these points what we did to Luntz - discredit and bring the truth.
I feel that the health insureance is too hi and take a lot out of your taxes after pay and people sure cant afford to pay on cost of living because of taking half your paycheck on the taxes they use for other things besides health I think if they would lower taxes for health insurance we all can afford to pay the balances what the insurance did not payand still live confortable
We need an overhaul. Our medical delivery system is not working well.
The government is not a solution.
I'd like to see indemnity plans come back. More paperwork however we need to get rid of all the HMO bureaucracy and expense.
Proponents of the plan need to combat the far right spin (read: outright lies) by more clearly discussing these myths and also pointing out the benefits of the plan. This is especially important to those benefits relating to seniors.
The biggest is that there are no "death pannels" or forced euthenasia! That portion of the plan actually referred to offering access to a professional medical counselor who will provide seniors with information on preparing a living will and other health realted issues. This is really a benefit that allows seniors to take better control of their own healthcare decisions.
As was mentined in the article another big myth that medicare benefits are going to be cut. The cuts are being made to costly subsidies like medicare advantage plans. These plans benefit insurance companies who are subsidized by the government to the tune of 156 billion/year, with only some extra flexibility versus real benefits to those seniors who sign over their medicare. Traditional medicare will not be cut and will actually be given more benefits including free preventative care, premium reductions for participation in disease prevention programs, exemption of income on sale of primary residences when calculating premiums, and the benefit of providing some longevity to a system that would likely go bankrupt in the near future without change.
If members of both House and Senate want to continue to debate while million American are having there life torn apart, then let them feel the same anguish. Strip them of the luxury of having medical insurance that is paid for by citizens. Then we would see how fast they would act. Let’s challenge our congressmen and senators to drop their health insurance until they pass a health insurance bill.