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Indybay Feature

Hillary’s Health Plan – the Devil is in the (Non-Existent) Details

by Paul Hogarth via Beyond Chron
Tuesday, September 18, 2007 : Hillary Clinton presented her “universal health care” plan yesterday – and early reports have been positive. Many have pointed how it’s similar to plans that John Edwards and Barack Obama have promoted – such as banning insurance companies from denying pre-existing conditions. But the devil is in the details, and Hillary’s plan fails to address some serious questions.
Requiring everyone to buy health insurance does not guarantee affordability, and even her pledge to keep costs under control won’t specify what that means. Employer mandates are great, but how do we know it won’t just be a subsidy to private insurance companies? While all the major candidates have promoted some mix of public-private insurance (although Edwards has opened the door to single payer), Hillary’s lack of substance should give progressives pause. Because without details, how can we trust the U.S. Senate’s #1 recipient of health insurance money to go after the real culprit – greedy insurance companies?

“If imitation is the sincerest form of flattery,” said John Edwards, “then I’m flattered.” Like the Edwards plan, Hillary would pay for it by repealing the Bush tax cuts and require everyone to buy health insurance. “Her plan is similar to the one I put forth last spring,” said Barack Obama, “though mine would go further in reducing the punishing cost of health care than any other proposal that’s been offered in this campaign.”

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§Clinton Announces American Health Choices Plan
by via Seth Michaels, AFL-CIO
Tuesday, September 18, 2007 : Sen. Hillary Rodham Clinton (D-N.Y.) today released her proposal for universal health coverage. Under the American Health Choices Plan consumers could keep their existing insurance, join a group insurance plan through a program modeled on the benefit plans available to members of Congress or join a public program modeled on Medicare but with the same benefits available under the group insurance plans.

Everyone will be required to choose one of these options.

In a Des Moines, Iowa, speech announcing the plan, Clinton said:

Today as we strive for a new beginning to the 21st century, I believe that everyone—every man, woman and child—should have quality, affordable health care in America. We can no longer tolerate the injustice of a system that shuts out nearly one in six Americans.

Clinton’s plan includes features to make health coverage more affordable, primarily through a refundable tax credit aimed at capping premium payments at a yet-to-be-specified percentage of income. The plan also includes an initiative to help companies cover the costs of health coverage for retirees.

The plan will be paid for partially through cost savings, including large-scale prescription drug price negotiation and the phase out of Medicare overpayments to HMOs, and partially through the rollback of the portion of the Bush tax cuts aimed at the wealthiest Americans.

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