Monday, November 9, 2009

HEALTH PLAN- Where we are really at?

Many have reported that the first step on achieving meaningful health care reform has been achieved when the US House of Representatives passed a nearly 2,000 page bill by the vote of 220- 215. It should be noted that only one Republican voted with the majority, and several more conservative Democrats voted against the bill. In order to get this bill to pass, the majority approved of very strong language prohibiting any funds to be used for abortions. The next step is for the Senate to vote on a health bill, and since the version in the Senate is considerably different from the bill in the House, if the Senate passes a bill, it would then go to a Senate-House Joint Committee gto "hammer out" a compromise bill. That bill would then have to be voted on by both the House and the Senate, and if approved, would then go President Obama to sign into law. It is very important to realize that this is a long process.
Even the Senate Majority Leader Harry Reid has said that he has doubts that the legislation can even be voted on in the Senate this calendar year. The Senate filibuster rules also makes it that you need 60 of the 100 Senators to even bring a bill to a vote, and, at least publically, the Senate Republicans have almost nearly stated objections. In committee, the only Republican to vote with the majority was Senator Olympia Snow of Maine, and even she has said that she will not support a bill that includes the so-called "public option." Republicans have stated that this bill should emphasize reducing health care costs, and that the US economy cannot afford anything that will further increase the deficit. Because of all the various provisions of this legislation, neither supporters nor opponents are 100% clear on all the provisions. The only thing certain is that both sides will "spin" the issue!
Because of all the public discussion on the issue, my belief is that some "watered-down" version of a bill will eventually pass, and that both sides will claim victory, and how they have served and protected the American public.
What is truly uncertain is exactly who will really benefit from this legislation, exactly how much will this really cost, will health care be improved in this country, who and what will suffer, and what are all the long-term and short-term ramifications of either action or inaction on this issue. While everyone would tell you that they believe that everyone should receive quality medical coverage, does this, in the long-term address that? How would the costs of medical malpractice insurance, unnecessary medical tests, etc., be impacted by this legislation? What works and what does not work in other countries that have Universal coverage?
Doesn't it seem that the public should be truly informed about such important legislation? It may be an excellent paln - - it may be horrendous; but we have certainly not been informed of how the 85% of Americans who presently have medical coverage will be affected (will their insurance benefits improve; will it cost less; will there still be an incentive for doctors to practice; will drug approval be impacted; will alternative medicine be considered; will there be more provision for enhanced preventative medicine; etc?). How much will the plan really cost, and what protections are built in for the American taxpayer? How will this plan save the consumer money? If there are taxes that will be imposed to pay for this plan, what will be the potential negative impact on the overall economy, and on employer-provided health care? What will be the impact on other medical treatments such as: dentistry; optometry; chiropractry; alternative/ holistic practioners?
While I certainly don't know the complete answer, I believe we should ALL be asking some important questions!

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