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How to Improve the Finance Bill

The Center on Budget and Policy Priorities has some suggestions for improving the Finance Committee's bill. The Senate should listen to them. If you follow the link, there are also some great tables showing how much people at different income levels would pay under the House, HELP and Finance proposals.

By Ezra Klein  |  October 16, 2009; 2:34 PM ET
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Another Significant Danger: Weakening the Individual Mandate Too Much Will Cause the Cost of Insurance to Rise Significantly and Threaten the Ability of the Legislation to Work

No that's not AHIP saying that. Not BCBS saying that. Its CBPP saying it. Well Ezra's in favor of it when CBPP says it but against it when its AHIP?


Posted by: visionbrkr | October 16, 2009 9:10 PM | Report abuse

This CBPP report is a must read. People with limited education will be required to do complex calculations to budget for health care. The subsidies are inadequate, get whittled further over time and it gets harder to qualify for the affordability exemption. Plus the insurance Baucus wants to make you buy is high-deductible junk.

The system we have now has the advantage of simplicity. People know health care is expensive and if you get sick you may go bankrupt. The new system should be that health care is essentially free and no one ever goes bankrupt. That's how other countries do it. Why do we have to have Rube Goldberg's health care reform?

Posted by: bmull | October 17, 2009 5:02 AM | Report abuse


really? FREE? So docs will work for free? Hospitals will operate for free? Pharma will deliver their product for free?

I know you know that's false so the answer is to tax more, right? So how much tax is enough? 50%, 60%, more???

Free in many instances leads to overutilization which is the exact thing WE DON'T NEED.

We need accountability, something we don't have now.

Posted by: visionbrkr | October 17, 2009 8:39 AM | Report abuse

visionbrkr: Overutilization is a problem among some patient populations, but I think copays and deductibles are overly blunt tools to combat this. Underutilization and hardship due to high out-of-pocket costs are serious problems too. Mainly I think doctors need to be educated about how much they're spending. I agree with you about the CBPP report though. It says the same things that Ezra said were "hard to take seriously" when AHIP said them.

Posted by: bmull | October 17, 2009 10:20 AM | Report abuse


that's why personal accountability needs to be based on what people can afford. The poor should have little to no cost so they have access. As income grows so should patient cost.

Same idea, different topic. People shouldn't get social security that are millionaires. My father does very well (don't know the exact figures) but he doesn't need social security. He owns his own business (not insurance/ manufacturing) and he's 70 tomorrow. he still works 40 hours a week because he enjoys it. It keeps him busy, active and thankfully for him he's healthy so he can. He doesn't need social security but he may be getting it. Knowing him he'd gladly give it away (if he doesn't already) to give it to someone who truly needed it.

Posted by: visionbrkr | October 17, 2009 3:00 PM | Report abuse

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