As chairman of the Senate Finance Committee, Senator Max Baucus holds the keys to health care reform; any health care legislation must pass through his committee. So what he says or doesn’t say is important to those following the twists and turns of the congressional effort to fix our health system. This is the thirteenth of an occasional series of posts on the senator’s pronouncements and how the media has covered them. The entire series is archived here.
Regular readers of Baucus Watch should not be surprised at the health reform compromise the Senate Finance Committee has brought forth—many provisions are not terribly friendly to staunch reform advocates, and give insurance companies lots of wiggle room. But, then, we at Campaign Desk had been predicting that.
What’s important now is for the media to dig deeply behind some of those provisions, and refrain from doing stories like the one the AP moved on its wires yesterday. It was a classic bullet-point story, with graphs on the plan’s cost—about $900 billion over ten years); how it’s paid for—-cuts to Medicare and Medicaid, fees on health insurers, drug companies, and device makers; subsidies—but only for individuals and families with incomes three times the poverty level (about $66,000 for a family of four); benefits package—policies could require families to pay as much of 35 percent of their medical costs or as little as 10 percent, depending on what they bought; on how consumers would choose coverage—through a state-based purchasing pool, but, according to the AP, only if you are self-employed or own a small business; and so on. Most everyone must carry insurance, and fines for not doing so could be steep—as much as $3800 per year for a family with incomes over $66,000.
The committee scotched the idea of a public option, referred to by the AP as a “government-run plan” (the Republican pejorative has stuck). Instead, it recommends non-profit, member-owned cooperatives that would compete with industry giants like WellPoint and Unitedhealthcare. That, too, should not surprise Baucus Watch readers.
For months, we caught the senator dropping hints galore that there would be no Medicare-like public plan. Employers, who had the committee’s ear, got off easy—they won’t be required to cover their workers, although businesses with more than fifty full-time workers would have to pay a fee if the government ends up subsidizing their employees’ insurance. More poor people would get Medicaid coverage, but not until 2014. Perhaps that’s because the committee couldn’t afford to give them coverage right away. No word on what those folks should do if they get sick in the meantime.
AP readers might get the gist of Baucus’s plan while still not understanding what it actually means. For example, the AP story pointed out that there would be “no denial of coverage based on pre-existing conditions.” Well, yes, but there’s more to it than that.
Here’s where Maggie Mahar comes in. In her Health Beat blog yesterday, Mahar probed what she called “a gift to the for-profit insurance companies.” Turns out that Baucus and committee would require companies to insure even the very sickest, but would allow them to charge rates that are five times higher if they are older. For weeks, we have been noting that age rating is a proxy for medical underwriting, and that insurers would get their pound of flesh one way or another.
Mahar points out that the Baucus plan will not require people to have coverage if they can’t afford it and don’t qualify for subsidies. Massachusetts does the same thing the same thing under its health reform law. Fine—no penalty. But what about coverage for all those people in their fifties and early sixties, who need insurance at a time when ailments tend to surface? Most likely a good number won’t buy it because it’s too pricey.
There’s much more in the Baucus plan. Let’s keep reporting it out as the plan makes its way to a committee vote in the next week or so, and on to the Senate floor.
Trudy, I admire you enormously. I really do. And I mean no disrespect to you when I suggest this column should be simply re-titled the "Butt-F_ck" watch.
Cuz that's the inevitable consequence of all this. We, the People, are gonna get it in the ass, sans foreplay (unless all this summer's kabuki counts is supposed to count) or lube.
Any "plan" that is even remotely "palatable" to the parasites in the health insurance "industry" will inevitably exact its toll from those least able to pay it...
#1 Posted by Woody, CJR on Wed 9 Sep 2009 at 01:15 PM
Let me get this straight; Baucus thinks it's smart politics to force people to purchase the very product they're complaining about, without offering an alternative, or face a $3,800 fine??
He ought to release this statement to the press:
http://www.theonion.com/content/node/33420
#2 Posted by Hardrada, CJR on Wed 9 Sep 2009 at 01:37 PM
Here's something you apparently missed, Trudy. The author of Baucus plan? One Liz Fowler. (Open the pdf of the plan, go to File>>>Document Properties and look at the Description menu. Author: Liz Fowler.)
Ms. Fowler has been a key member of Baucus' Senate Finance
Committee staff since 2008. Guess where she worked before that? Elizabeth J. Fowler, PHD, JD, was Vice President for Public Policy and External Affairs at WellPoint, Inc., a large health insurance company formerly known as Anthem, Inc and a member of Blue Cross Blue Shield Association.
A health insurance executive is hired for a staff position at Senate Finance Committee by the Chairman, the most influential Senator on health care reform, and actually writes the "bipartisan" plan that counteracts every prevailing opinion on what elements would be effective in reforming the health insurance industry.
This is so corrupt that it stinks to high heaven. Why haven't ANY beltway journalists taken a look at this? Are they so inured to corruption of Senators by big money lobbyists and business they they don't even notice it any more?
#3 Posted by Tom, CJR on Thu 10 Sep 2009 at 01:03 AM
Appreciated your comments on the BaucusCare bill during The Take Away radio program today (09/17/09). Much annoyed that the host glossed over you point that the elderly will be paying the freight in terms of premiums.
#4 Posted by FWIW, CJR on Thu 17 Sep 2009 at 09:35 PM
Thanks for your comment.
#5 Posted by Trudy Lieberman, CJR on Fri 18 Sep 2009 at 10:32 AM