The White House’s health reform plan is up at WhiteHouse.gov, or you can take a peek here. This represents a compromise document, one prepared to pass by using the Senate bill as a base and making changes that the Administration thinks could pass through the reconciliation process if need be, “informed by the process” that has already taken place of the House and Senate bridging their differences, according to WH communications director Dan Pfeiffer.
What’s in this bill that differs from the Senate bill? Let’s take the main pieces:
• Affordability. The subsidies improve upon the Senate bill, particularly at the low end, but also between 250-400% of poverty, where the maximum amount of income paid out of pocket as in insurance premium dips from 9.8% to 9.5%. The actuarial value also increases at the low end slightly, from 133% to 250% of poverty. For instance, instead of a 70% actuarial value at 250% of poverty, the number rises to 73%. These are cosmetic but tangible changes upward from the Senate bill.
• Donut hole. The donut hole, where Medicare Part D subscribers pay out of pocket for prescription drugs above a certain amount, would now get closed by this legislation.
• Community health centers. Bernie Sanders worked hard to get close to $10 billion in additional funding for community health centers, some of the most efficient money in the entire bill, offering universal coverage to low-income community residents. The House bill allocated $12 billion for CHCs. The compromise proposal sets the number at $11 billion.
• Rate review: This is the Health Insurance Rate Authority proposal from Sen. Feinstein that I mentioned last night. Again, I cannot see how this becomes germane through a reconciliation process. I asked Dan Pfeiffer today if they took that into account when crafting the proposal, and he said they did, although he added that “These calls are made by Senate parliamentarian.” In other words, this piece may get flagged by the parliamentarian, in which case the Senate could vote on waiving the Byrd rule, which would take 60 votes to overcome. That could be the plan, to force a clean vote for Republicans between the people and the insurance industry. This part of the bill would also require states that do not currently conduct rate review to do so.
• Losing the Cornhusker Kickback. The bill cancels the Nebraska deal to pay out their expansion of Medicaid coverage in perpetuity. However it adds serious assistance to states for the expansion, adding a year to cover the full cost (until 2014), upping funding to 95% through 2018 and 90% thereafter, with more money for states that already have expanded their coverage. Basically, the “unfunded mandate” of expanding Medicaid is extremely small. While this does not just take over Medicaid funding as a federal concern (which it should), it goes pretty far in that direction.
• Excise tax. Essentially, the changes mirror the deal already worked out between the White House and labor to tweak the excise tax, although the bill raises the threshold for the excise tax all the way up to $27,500, higher than previously suggested. Nothing in the excise tax exempts collectively bargained plans – the changes specifically for labor now apply to all plans. This will allow the tax to, in the words of Jason Furman of OMB, “focus on the costliest plans, not the costliest workers.”
• Individual and employer responsibility. To make up some of the money from the tweaks to the excise tax, increase in FMAP funding for states and the improved affordability credits, the bill adds a variety of provisions. One of the ways is by increasing the penalties for the individual mandate and the employer responsibility. The hard dollar amounts are actually smaller for the individual mandate, but the percentage of income has increased. Basically it adopts the percentages from the House bill. The “hardship” exemption on affordability, exempting those who cannot find coverage that costs a certain percentage of income, remains.
On employer responsibility, the penalties are jacked up significantly, though there’s an exemption for the first 30 employees). The penalty goes from $750 per worker to $2,000.
• Waste, fraud and abuse in Medicaid/Medicare. Basically they adopt a bunch of Republican proposals from old bills to crack down on waste, fraud and abuse in public health programs.
• Other offsets. There are increased savings through lower Medicare Advantage payments (basically, lower subsidies to private insurers to run that program). They’ve added an extra $10 billion in givebacks from branded pharmaceuticals (basically increasing the givebacks in the PhRMA deal). They’ve extended the Medicare HI (Hospital Insurance) tax, the payroll tax for Medicare, onto unearned income, and increased it for high-income earners – there’s even a 2.9 percent assessment on dividend and capital gains income. And the “black liquor” exclusion is included, along with a provision ending certain tax shelters.
That’s most of the important provisions in the bill. This supplement would then get tacked on to the Senate bill, presumably through a reconciliation sidecar, and passed as an overall comprehensive piece. The total bill, the White House calculates, would cost $950 billion, an increase over the House and Senate bills as well as Obama’s former baseline number, and would be fully offset.
You’ll notice I’ve left off the public option. It’s not in this bill. Neither is any change beyond the Senate bill of the abortion funding provisions.




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Sounds a lot like the Republican proposal. Don’t get sick. If you do, die quickly. I’m not impressed.
I am right at the 300% mark, incredibly, this is supposed to help me. The only thing that concerns me is the penalty, I simply can not take a 9.8% (or 9.5%) pay cut. How hard can it be for them to see that?
“Obama’s Health Care Bill Will Limit Insurance Rate Hikes”
Although a federal insurance rate board might be more effective, it seems to me to be the utmost in government interference in private company operations. Given the present role of insurance in health care, providing competition through a public option would be preferable.
This problem demonstrates the foolishness of providing “insurance” against a basic human need. And if insurers can’t use risk analysis or avoid pre-existing condition coverage, where’s the “insurance”?
homer http://www.altara.blogspot.com
Progressives need to organize and hang this Bill on the necks of every traitor within the Dem Party.
It is time for progressives to organize.
We must dare Dem traitors to vote for this HCR scam develop by the Obama Republican White House.
Any Dem that wants to be un-employed like Obama will be in 2 years vote for the Obama Republican White House HCR scam bill.
Like BILL MAHER said friday night the USA only has one political party, and that is the CORPORATE POLITICAL party.
Like the Tea Party movement is doing, it is time for PROGRESSIVES to kick the Corporate Party members out of the DEM party.
AND THE KILLIN’ GOEZ ON AND ON AND…
Citizen David Dayen and the firepup Freedom Fighters:
Brother Dayen, does this mean that unless this grotesquerie goes to reconcilliation, there is no chance for the House Democrats to get the public option into the final package? Now we’re back into the muck of legislative process all over again. What are the chances of gettin’ the fascist Republicans to kill this mutation and cram a real bill through reconcilliation…and don’t bring up the Stupid Amendment, nothing passes with that toxic waste in the bill.
KEEP THE FAITH AND PASS THE AMMUNITION, IT’S ALL ABOUT THE WARS ANYWAY!!
Hopefully his proposal will also describe how we are going to achieve cost savings.
Obama apparently took Emanuel’s advice on the wildly popular public option…
per Milbank yesterday in WaPo:
Emanuel “opposed the public option as a needless distraction.”
Needless for whom?
All federal employees obviously, but not me who was counting on HCR to relieive my anxiety about dealing with the murder-by-spreadsheet bastards that call themselves insurance companies.
What? No Public Option in Obama’s bill? I’m shocked. Shocked.
Well,I haven’t had a chance to go through the bill completely
but the Prez believes CORPORATIONS have a right to squeeze every last dollar out of Americans.
Republicans will eventually revere Obama. He has earned the scorn of working and middle class Americans.
I guess I am still hoping for a miracle and that Harry Reid will push for the PO in reconciliation…
btw, Obama, what happened to reconciliation?
Everytime Dems take two steps forward toward giving American what they SO OBVIOUSLY want…
Obama steps in and takes it all away in the name of “bipartisandhip”…
It’s a now familiar dance that really fucking pisses me off.
Citizen jedimsnbucko:
There is an echo in here. The best way ta get rid of the corporatists in the Democratic congressional delegation is to kill this bill and go right into next November with nothing done on anything. This hasta be hung around ObamaRhama’s neck …the Republican fascists are irrelevant. Addition by subtraction. The only way progressives can win is to force Obama to do the right thing or lose in 2012. Don’t even think about a third party because that’s exactly what the corporatists want to be able to triangulate the people right out of the process! Time to play hardball with the White House!
Progressives need to start focusing on November.
It is time to clean house.LITERALLY
We need to elect a couple of real progressives to the House and Senate, that will do something magical, like work for the American People.
Obama is pathetic. What a waste.
At least Obama is making Hoover proud.
If the Democratic Party is going to survive the disaster of Obama there will have to be a primary challenge. If the U.S. is to survive there will have to be a reinvigorated Democratic Party.
Yes, the president would close the Medicare Part D donut hole… BY 2020. Thanks for nothing, Barry.
Also if I understand the above sentence correctly, requiring recipients to pay 25% of the cost of biologic drugs would still make them unaffordable for many people.
There is a provision which supposedly would speed up marketing of generics but it sounds weak and I’m certain there are loopholes that will allow drug companies to maintain their exclusive patents, or at least there will be before the Senate gets done with it.
the sky is falling the sky is falling the sky is falling the sky is falling the sky is falling
“You’ll notice I’ve left off the public option.”
Does that mean Obama’s going to leave that to the House to reinsert, or is the PO truly dead?
You know what sport? For a lot of Americans the sky is falling.
Good, maybe we can finally get some of that pie in the sky we evidently voted for.
I totally agree with you.
Harry Reid and Nancy Pelosi need to force their members to vote yes or no on the public option, so we REAL DEMOCRATS can find out the RATS that have entered our Democratic party.
Progressives are the majority in the Dem Party, it is time to kick the rats out like Ben Nelson, Max Baucus, Blanche Lincoln, Barack Obama,Rahm etc.
enough is enough
FDR must be rolling over in his grave!
mmmmmmmmmm…pie…
So would this include copays and deductibles? Could a family pay this and still afford a house?
Did anyone seriously think Obama was really going to put the public option back in?
Honestly, I think we should just trust our president in every decision he makes and should just support that, you know, and be faithful in what happens.
As opposed to a “needed distraction,” I presume he meant to say. That’s what we have, finally. A distraction from the White House agenda.
I’ll say it: I wish Hillary had won.
I like pie.
reconciliation…
maybe i haven’t been paying attention close enough, but it seems that when the push for the public option thru the ‘bennet letter’ gained momentum, and there was new life breathed into the public option, the obama admin moved quickly to craft their own reconciliation plan, that didn’t include the public option.
the obama admin, again, shows that their only loyalty lies with their major corporate campaign donors. and they will blow smoke up anyone’s ass as long as it helps them politically–welfare of the people be damned. reconcile that.
Citizen Bluetoe2:
Right fuckin’ on!! What happens if nuthin’ is done on healthcare or anything else until November? The Blue Dogs and the corporatist Democrats will lose but the Dems still hold on to the Senate and probably the House…the fascist Republicans have made themselves irrelevant and are split three ways from Sunday inside what is left of their base. Unfortunately this means more suffering for the people of the country but what else is new…until we get the politics right there will be no improvement in living conditions in this country, PERIOD!
ObamaislyingObamaislyingObamaislyingObamaislyingObamaislyingObamaislying, again
I totally agree with your statement.
The current political system allows to many actors. Obama acted like a progressive to get elected and now governs like Bush. (where is the change?)
Most honest american don’t want to play the game the way it is currently played, say anything, do anything, to get elected once elected turn into a conservative to maintain the status quo.
It might be the only hope for progressives is to elect more liberals to both House and Senate, let the Republicans take the WH in 2012, and come back with a real Democrat in 2016.
The course of true love never did run smooth.
Citizen Raven:
Well, “the sky is the limit”, might as well get right down to it!
Citizen ratfood:
Yeah, dump some a that “pie” over here so we don’t hafta eat cake!
there it is dog, same as it ever was
The Obama bill starts where progressives would draw the line as a minimal bill. so if they start here where are they willing to end up in compromise?
President Obama is determined to be the best Republican President in 40 years.
Obama proves once again that under Rahm’s tutelage the base and its opinion does not matter. This is not the changew e voted for, and will be the reason why the democrats will be crushed in November. Once you write off the base, you write off any hope of winning a midterm election.
As to the specifics of HCR, without a public option, without medicare for all, there is no reform, all the rest is just a bailout for Rahm and Joe’s friends in the insurance and pharmaceutical industries.
Is it time for a third party yet?
That’s rich.
At this point, it looks like Obama will either work hard to get Senate Dems to push this crap through reconciliation or make it crappier in an effort to appease Republicans, who will call it socialist anyway (even though it’s not).
They’re not going to use reconciliation to produce real reform.
Which are worse, the sellout Dems or the weakling Dems?
Most Americans want real reform, including a public option or a Medicare buy-in. No one wants health care benefits taxed. And more subsidies sound great, except that it’s just giving taxpayer money away to private insurers in exchange for crappy coverage.
Reid’s a weakling.
Obama’s a disappointment.
Somebody, anybody, please explain this statement from the White House website:
Families below $44,000 and above $66,000 would pay less in premiums
WTF?
Make the guy a one termer.
So those of us in between get screwed?!? Nice.
Wow man, you usually don’t write silly stuff like I do!
S U X
When has the base ever mattered? By definition, they’re a given.
the neoliberal/wash consensus has reigned supreme in DC since reagan took over. and both parties, and all admin’s since then, have followed the same inverted totalitarian economic plan–where the parties change, but nothing else does.
however painful it might be in the short term, the dems need to be sent a message that can only be achieved thru vote withholding.
Watching the Democrats and the Obama Admnistration is like watching suicide by a million paper cuts.
And this too, shall not pass.
One Corporate Party and Obama is the Corporate Party president.
Now, there are still some members of the Democratic Wing of the Democratic Party –that’s the only hope I see and where we need more and better Democrats. No more of the Coporate Dems, please!
The Gang of Five Supreme Court decision allowing general corporate coffers to be opened to buy what the corps want will makle getting Better Dems difficult. Money, money, money. It’s a rich man’s game….
Looks like he’s determined to do it all by himself. He doesn’t need our help.
The Republicans may be irresponsible and infantile, but they’re doing a great pr job convincing their base that no one likes Obamacare because it’s too far left. Joke.
Meanwhile, Obama’s base hates it because it’s a corporatist sellout. Trying to sell it as moderate or bipartisan can’t change the fact that it’s crap.
Slidin’ down the bar atcha. I can see you also know the value of pie. :-)
The joke about the rate authority is that Feinstein, Obama, anyone could have proposed this months ago. Now it is stuck in as what can only be called a political gimmick. How would it differ from Medicare negotiated rates? Would Medicare have to start paying a higher rate on something if that’s what the rate board decided?
National Month of De-Registration from the Democratic Party might, just might, get their attention. Obama’s? Probably not. He never seemed real interested in the Democratic Party per se; I think he saw it as the best vehicle for politcal office and wealth.
Given that corporations can now buy what want from government by spending whatever it takes, we may just end up with one party and end the charade of campaigns. Pols would try out before a panel of oorporate judges, get awarded offices….
this is not change I want to believe in.
The bill needs at least these three provisions, which are popular ideas that could take effect NOW and win votes.
-close the donut hole in five years
-offer Medicare buy-in at 55
-extend the right to COBRA for fired/laid off workers until the exchanges kick in.
need another? -require a 90% medical loss ratio.
Also, the revenue provisions, including the tax on unearned income, should not cover folks with less than 100k in AGI.
Well, this is probably why Obama never took any clear stands prior to this: What he has presented is basically the Senate bill, which he essentially crafted with Baucus and Jim Messina (now an assistant chief of staff and formerly Baucus’s chief of staff with emphasis on health insurance). Only now he can’t deny it’s his approach. Could do so before this.
He wanted health insurance reform and is still doing the Big Health Insurance Parasite Profit Protection Plan (BHIP-PPP).
Health care is not his actual goal. What he wants is a healthy health insurance industry.
I think it’s all contributions, so yes.
So is the onset date for this limp chunk of compromise 2011, 2014?
Bipartisanship: you need two hands to clap, but just one foot to kick the can down the road, away from the cameras.
The people: Poll in Iowa from last week shows people want something like Medicare for All.
From KCCI-TV. Health care numbers (Via comment by desmoinesdem at TalkLeft.com):
My bolding throughout.
Note how Independents almost completely flip from opposing (63%) to supporting (60%) if they could get Medicare for All (well, Medicare buy-in, government run).
But does our ostensibly Dem prez listen? To us, no; to corporate interesst, oh yeah. Big Time.
As a conservative, I’m glad to see the anger….doubt there is much support in the middle for this crap proposal. Politically, the numbers don’t favor your cause. You will not only see a house cleaning of the Corporate Dems you appear to loathe, there is an anti-incumbent wave, and it just gained strength geometrically today.
What happened to the laser like focus on jobs?
Never since Nixon…when I was 4, have I seen a President living in such a fantasy bubble. Obama is out of touch with the Right, the middle and the left. it’s not pretty.
Wording says “as in insurance premiums,” so I go with most likely monthly premiums are capped at the 9.5% of income. Deductibles? Co-pays? Somehow I think not, as that would be very hard to predict. So, unless Obama is saying that all an BHIP (Big Health Insurance Parasite) gets out of the host is an amount up to 9.5% of income, then co-pays, deductibles would be extra.
Sounds like one of those “devil is in the details” kind of things. And this is the first draft, plain English take on things. All will need to be written out in legislatese before we’ll have a firmer idea of what is intended. Even then, legislative language can hide, obscure, hide things….
Jane has a fresh cross-post already in progress: “Mandate Penalty Increases From 2% to 2.5% In President’s Health Care Bill”
and it is b/c of polling data like that, and the bennet letter, that the obama admin is rushing to make sure that:
a) they can pass something, quickly
b) what they pass is AHIP/PhRMA uber-friendly
the admin was happy to let the congress take it away and bicker and quarrel for months as the bill moved further and further to the right. but, when the recent push for the PO made it a possibility, the admin has gotten involved to push their own corporate-friendly reconciliation bill.
disgusting.
I will not vote for this man again, nope.
Regardless of what he says now, he did campaign on a public option, since being elected, he thinks if he forgets about that, we will too. Nope.
This man is all talk.
This man is all talk.
This man is all talk.
He, just like those before him, say whatever he thinks we need to hear, nothing more.
He is living up to the promises made to the big money special interests, just not the promises he made to the remaining 99%
With this gift to the big insurers, I’m done with him, that’s it.
A NY blogger* reports on a Q&A session with Sen. Gillibrand, where she says reconciliation could cover establishing Medicare for All — and do away with the rest of this junk.
From this blogger’s typing to Obama’s eyes (and other Dems’ eyes); from Gillibrand’s lips to God’s ear!!! If only….
Now, this may be a campaign stance designed to ensure NYers don’t get too interested in Harold Ford (who has lived in NYC since 2007 and not paid NY taxes, but thinks he can paper that over…) or maybe she’s sincere. If so, what will she actually DO?
New Yorkers–please call Sen. Gillebrand and find out what she’s willing to really act on. (Thank you)
*Via DCblogger comment at Correntewire.com
I can imagine no reasonable way that the the co-pays could be figured into the a capped maximum. That would imply that the out of pocket outlays like co-pays are tracked and the premium reduced by that amount. If that were the case, a person that uses the insurance enough could end up replacing the cost of the premium with the out of pocket co-pays. Spending enough on co-pays that an individual doesn’t have to pay the premium does not sound like a way to bend the cost curve.
Has anybody spoken to enough Republicans to find out why 59% of those polled would be against a CHOICE to buy into a Medicare-like plan? I could understand being against a mandate, but a choice to buy into such a plan? Makes no sense whatsoever. What do these “regular guy” Republicans want? Do they even know, or are they just against any change in the status quo (that being the true definition of “conservative”)?
Obama: “Change… you can believe in…!”
The change you can if you may, believe in is that he is… A CHANGELING. But that goes with believing in FAIRIES.
dictionary:
Changeling:
noun
a child believed to have been secretly substituted by fairies for the parents’ real child in infancy.
bye..bye…new guy….
David:
I’m totally confused about the Excise Tax at this point. Last we heard – Hoyer had exempted all Federal employees along with Union employees. So it appeared that public employees along with union workers were going to be exempted from the tax for some period of time.
The question is has their exemption just been extended until 2018 or has the time for everyone been extended until 2018?
I do realize that hard working, taxpaying Americans that don’t work in the public sector and don’t work for a union are just suppose to keep still and pay for this Bill – but I’d like to know anyway.
You think you got enough input already then?
What is the CBO score for this patchwork contrivance that still mandates an enormous amount of profit to private insurers.
How many people are left uncovered? How much cost reduction is to be obtained over time with this contraption?
We need to know how this plan compares with other much simpler proposals since according to this one-term idiot all proposals are on the table.
There is nothing to be lost by loudly decrying with the intent of defeating this on the whole punitive plan designed to favor private insurers, regardless of whether the Rs have the same goal in mind. Obama is clearly the enemy of meaningful HCR and should be treated as such.
Somebody is advising Obama that unless he pisses everyone off he’s not governing. It’s bad advice. Your right a train wreck lies ahead for Congressional Dems. because he and they have turned off their base. They’ve decided to take the Corp. cash and pray. It won’t help, the Corps. with the SCOTUS approval will now bury them under a ton of negative ads supplied to them by Obama and their own betrayals. Gopers will vote in nos. smelling blood in the water and Obama will get what he seems to so dearly desire bipartisanship, as the Gopers re-take Congress.
I’ve had a really busy day at work today, so no time to read thru all of the comments. Forgive me if it’s been discussed.
On KO last week, Lawrence O’Donnell said emphatically that there are “several” procedural things that would occur during reconciliation (or leading to it) that would require 60 votes, so he was pretty pessimistic about reconciliation as a means to get meaningful HCR.
I tend to trust what he says about these things because of his previous role in government. But I haven’t read or heard any others raise the procedural issues. Does anyone know?
All this foo foo rah is way too complicated. People see this kind of stuff and right away they suspect a scam, rightly or wrongly. The Democrats cannot sustain a mandate without a public option. And even with a public option it’s all way too complicated for the average voter to understand. We need Medicare for all. That’s it. It’s so damn simple. It fits on a bumper sticker. And everyone knows someone with Medicare that likes it.
Good post David:
Seeing how the HCR has not just languished from the long messy sausage making stage, if you can really call it that, in this instance, but has rather developed into something regressive in it’s end products. In our… estimation, IE: gift to corp. etc.
I am thinking how it got so… prematurely launched, in that way that the Pres wasn’t really in front of it, so much but it came about and has been half assed all along.
Not at all bipartisan in the least. No no no… Olympia Snow…
Does anyone wonder why this issue, was put up for the first test of the administration. Why take on such a, call it a nonstarter, and a difficult amorphous ,hard thing to get a handle on, and mainly a thankless task, other than in posterity and legacy terms. But as it turns out not one that they wanted to win.
In summation I hope that the issue of health care, is not being used in the most cynical sense, which is to make an indelible impression on all, that, in the end, their health, much less their exposure to pain and suffering, kind of goes with peonage.
Along with a sinking boat of an economy, the sledge hammer of pain and suffering is coming, so buckle up.
The choice and handling of the issue, in other words: Is the message, that ironically seems to be similar to: “death panels”, or as @#7 “murder by spreadsheet.”
When Obama leaves office in 2012, he will paid millions a year for being president of AHIP, or Pharma, or some such.
Pays a lot better than the presidency.
Finally Bill Maher said something semi-intellegent. That moron is such a loser. Had he said the only party is the Corrupt Party maybe I could stomach him for a moment.
I can’t believe this country is embracing socialism. Our founders are rolling in their graves.
One problem closing the donut hole will clearly be increased premiums. Now I’m no actuary so I don’t know how much but I would bet it means close to double over existing Medicare Rx Premiums. IS this a good idea for everyone over 65 or just those 20% who actually need the added Rx coverage?
For those who don’t understand how Medicare works or the details of Medicare Supplemental Insurance and Rx plans we might want to peel back some of the layers to examine the consequences before we jump on board.
They’re going to get hundreds of thousands of signatures on repetitious petitions demanding reconciliation, and then the reconciliation idea is going to be turned around, aimed back at us, and TWAG! Down we go, for the last time. Obama, the DLC and its elves, their beloved co-party (R), and their superbenefactors the insurance/drug/medical industry, have won at last. As if there was ever a chance they wouldn’t.
One other thing he said that should be emblazoned on a marble bust of him (smirk and all):
“Republicans love the troops like Michael Vick loves dogs.”
Behold Obama’s arrogance and narcissism at work. He actually believes that the base will come back to support him in 2012 because they have no other choice. (Doesn’t give a shit about whether the base supports Dems in 2010 because he’d prefer a GOP majority Congress.)
In economics, rent seeking occurs when an individual, organization or firm seeks to earn income by capturing economic rent through manipulation or exploitation of the economic environment, rather than by earning profits through economic transactions and the production of added wealth.
http://en.wikipedia.org/wiki/Rent_seeking
The VA negotiates drug prices with pharma companies– in fact, for a drug company to be authorized to sell any drug they make to the VA, they must provide discounts on EVERY drug they make, so the VA has negotiated lower prices for 26,000 drugs and other medical products. The neat part is, they PUBLISH their negotiated prices (averaging 50% of Average Wholeale Drug Prices) to allow other government agencies to piggyback on the VA price. Instead of doing that for Medicare, Congress decided to outsource Medicare drug benefits to private companies, God knows why… its a fine example of rent seeking (the private Part D policies typically 20% or less of AWP). Costs the taxpayers at least $30 billion a year in wasted Medicare spending
http://www.pbm.va.gov/DrugPharmaceuticalPrices.aspx
DESCRIPTION OF DRUG PRICE FILES AVAILABLE FOR DOWNLOADING
There are 8 primary price files available for downloading:
1) FSS.EXE – Federal Supply Schedule (FSS), generally available to
all Federal Govt agencies
2) FSSR.EXE – Restricted Federal Supply Schedule (FSSR), restricted
to specific Federal Govt agencies
3) BIG4.EXE – “BIG4″ prices, (available to VA, DoD, Public Health &
Coast Guard only)
4) BPA.DBF – BPA (Blanket Purchase Agreements), available to VA only
5) NC.DBF – National Contracts (Mandatory source, available to
specific agencies depending on product)
6) FSSTIER.DBF – FSS Tier Prices (FSS prices subject to minimum
quantity purchase)
7) BIG4TIER.DBF – BIG4 Tier Prices (BIG4 prices subject to minimum
quantity purchase)
8) PRICES.EXE – All prices (FSS, BIG4, BPAs, National Contracts and
Tier Prices) in one file.
“I can’t believe this country is embracing socialism.” I think you have your political terms mixed up here dude. This isn’t socialism at all it’s pure fascism ( Corporatism). In a socialist arrangement the taxpayers would foot the bill and either the providers would work directly for the Gov’t as in Cuba or Great Britain or they would be private and bill the Gov’t directly as in Medicare or as in the Canadian Single payer system. This is the taxpayers being jacked by private Health Insurance companies who then jack the prices since they have a monopoly plus now we all get to pay for the uninsured through taxes. It sucks but it sure as hell is NOT socialism. Once again ,the $$ is going to FOR PROFIT PRIVATE HEALTH INSURERS that isn’t what I call Socialism. Google the two terms if you still don’t get. it.
“Democratic officials said Obama’s proposal was being written so that it could be attached to a budget bill as a way of averting a Republican filibuster in the Senate. The procedure, known as budget reconciliation, would let Democrats advance the bill with a simple majority rather than a 60-vote supermajority.”—What a dirty, rotten, low-down, lying, sneaky, scumbag trick! Attaching a budget bill onto this HCR bill just to get it passed is more than asinine! Is amnesty still attached to this bill? What does he not understand about WE DO NOT WANT THIS BILL? And then to top it off Pelosi said, “We (Liberal Democrats) will go through the gate,” “If the gate is closed, we will go over the fence. If the fence is too high, we will pole vault in. If that doesn’t work, we will parachute in. But we are going to get health care reform passed for the American people for their own…” (GOOD?) I don’t want her making decisions on what SHE thinks is best for ME. I think her screws are loose. Why are they so determined to ignore what WE want? I think they should be removed from office before they do even more damage! But at least Obama is consistent, he has lied for over a year now. I just heard that he wants to ban hot dogs for children under 4 years. Huh? Are we going to have a weeney police??
Might as well face the fact that more than 60% of the people do not want this bill.