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Health & Fitness > Obama's Plan Not Single Payer or Canadian-based
 

Obama's Plan Not Single Payer or Canadian-based

More ads claim that Congress is pushing a Canadian or English-style health care bill.



 As a former health care agent,  I have written several times on Obama's
health  plan; yet people refuse to believe me.  They choose instead to
believe commercials  from those with an agenda and conservative web
sites full of misinformation.



For the last time, Obama's proposed plan would not be based on Medicare or VA plans.  It would be based on the government plan for government employees and Congress.



In a nutshell, if the plan gets passed as Obama wants it:



1.  Totally voluntarity:  One may keep his current coverage if he is happy with it.

2.  Low premiums, low deductibles, no exclusions for pre-existing conditions

3.  No restrictions on choice of doctors or hospitals (that eliminates waits to see doctors)

4.  Affects only those people under Medicare Age. 

5.  No restrictions on what doctors may charge.



Ads Are Misleading People:

– by Lori Robertson


Two ads from related independent groups make claims about an overhaul of the health care system, saying Congress wants a government-run health care system:


Summary:


  • One ad claims that “Washington wants to bring Canadian-style health care to >the U.S.” But the health care bills moving through Congress don’t call for a single-payer system like Canada’s, and legislation that does support a purely government-run system is quietly dying in committee.

    Obama, too, has said repeatedly that he doesn’t back a conversion to a single-payer system.
     

  • Another ad, targeting specific members of the Senate, similarly claims that “Congress is rushing to take over health care.” It says that a government health insurance option would cause “tens of millions” to move from their current insurance to a government plan. That claim is on the mark, >according to one study, which found that millions would move from private insurance to a much cheaper government option.



Analysis:

We've written before about conservatives claiming that Congress, or Obama, or Washington, or Democrats in general want the U.S. to have a Canadian-style, government-run health care system. The truth of the matter is that the president has repeatedly said he doesn't.
In fact, since being sworn in as president, Obama has riled advocates of such single-payer systems by largely excluding them from the health care debate.
He has answered several questions from members of the public who asked at town hall events: "why not" have such a system. Sen. Max Baucus of Montana, chairman of the Senate Finance Committee and one of the leaders in drafting legislation, has said bluntly: "single-payer is not going to get even to first base in Congress." Yet, the Canada claims continue.

In an ad airing (for the third time this year) on national cable channels,
a group called Patients United Now says that "Washington wants to bring Canadian-style health care to the U.S."

The group's back-up for the claim? An opinion piece that we previously found to be riddled with errors;
an article from CQ.com that says the National Institutes of Health will >fund comparative effectiveness research studies that examine cost –
which, the article notes, the NIH already does; and another news article in the San Francisco Chronicle that reported conservatives have criticized such research, saying it leads to "rationing," while proponents have said it will improve health care and reduce costs.

As we've said before, the stimulus legislation, the American Recovery and Reinvestment Act, called for the creation of a council that would coordinate and support comparative effectiveness research, which examines which medical drugs and treatments are most effective, and in some cases, most cost-effective.
The government has funded such studies since the late '70s. In this chart of research funding, the NIH estimates it will have spent $50 million on "cost effectiveness research" each year from 2007 to 2010.

To be sure, the cost factor prompts critics to say the research will lead to the government, or perhaps insurance companies, denying certain medical procedures based on cost alone.

Proponents say such research provides valuable information to the public and physicians on which procedures work best and whether more costly treatments are actually more effective.


American Recovery and Reinvestment Act of 2009:(forbids any restrictions or even guidelines on care)
Nothing in this section shall be construed to permit the Council to mandate coverage, reimbursement, or other policies for any public or private payer. ... None of the reports submitted under this section or recommendations made by the Council shall be construed as mandates or
clinical guidelines for payment, coverage, or treatment.

 

Patients United Now also points to Rep. John Conyers' "Medicare for all" legislation, a single-payer health care bill that the Michigan congressman has introduced for several years running. This year, Conyer's bill, H.R. 676, was introduced in January and hasn't moved from committee since. It quietly died in committee in the last Congress and in previous attempts.
Another group, a 501c(4) called Patients First and backed by Americans for Prosperity,
has another ad on the airwaves, this one targeting 12 senators. The one-week, $1.3 million ad buy was announced by the group July 8.

The Patients First ad says that "tens of millions will lose their current insurance, and wind up on the government health plan.n." That's based on an analysis by the Lewin Group, which says it operates independently as part of United Health Group, owner of the insurer United Healthcare.
Comparing the House bill to Lewin's findings, the government plan, which would be significantly cheaper than private plans, would attract about 43 million people, 32 million coming off of private coverage. That's "tens of millions," as the ad says, and we'll note again that the ad was released before the details of the House bill were announced.
According to the study, there also would be a reduction in the number of the uninsured public plan being only open to small firms and individuals, and payments to doctors and hospitals being similar to Medicare rates.
The House plan would pay doctors Medicare rates plus 5 percent. A Senate bill that passed the Health, Education, Labor and Pensions Committee also proposes a public option open to individual and small businesses; reimbursement rates would be negotiated, however, which could well lead to fewer people moving to a government plan. (For more on the Lewin Group study, see our previous article about a health care ad that wasn't so careful in its wording.)

Lewin's estimate is just that, however, and the Congressional Budget Office projected different numbers in an analysis of these two bills. The CBO
estimated that fewer people would take up the public option under the House bill, finding that "total enrollment in the public plan would equal about 11 million or 12 million, counting both individually purchased policies and employer-sponsored enrollees."

As for the Senate bill from the HELP committee, the CBO said its public option "did not have a substantial effect on the cost or >enrollment projections, largely because the public plan would pay providers of health care at rates comparable to privately negotiated rates."

Different versions of this ad are aimed at 12 Democratic senators: Mark Warner of Virginia, Evan Bayh of Indiana, Ben Nelson of Nebraska, Mary Landrieu of Louisiana, Tim Johnson of South Dakota, Blanche Lincoln of Arkansas, Max Baucus of Montana, Kent Conrad of North Dakota, Harry Reid of Nevada, Mark Begich of Alaska, Michael Bennet of Colorado and Thomas Carper of Delaware.
Some information provided by https://www.factcheck.org/politics/canadian_straw_man.html






Correction,
July 20: We originally wrote that one version of the ad was aimed at Sen. John Warner of Virginia. He's a former senator; the ad targets Sen. Mark Warner.

Sources

Galloway, Gloria. “Wait for surgery savages economy, doctors say.” The Globe and Mail, 15 Jan 2008.

Congressional Budget Office.
Letter to Rep. Charles B. Rangel. 14 Jul 2009.

Sheils, John and Randy Haught. “
The Cost and Coverage Impacts of a Public Plan: Alternative Design Options.” Lewin Group. 6 Apr 2009.

American Recovery and Reinvestment Act of 2009. Pub. L. 111-5. 17 Feb 2009.

U.S. National Institutes of Health.
Estimates of Funding for Various Research, Condition, and Disease Categories. NIH.gov. 15 Jan 2009, accessed 16 Jul 2009.

Mayo Clinic. Profile: Shona Holmes. Mayo Clinic Web site. Summer 2007.

Reichard, John. "NIH Chief Doesn’t Rule Out Cost Component to Comparative Studies." CQ Healthbeat News. 26 Mar 2009.


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posted on July 22, 2009 8:10 AM ()

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