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Daschle's Views On Health Reform: 'Incremental Change In Our System Is No Longer A Viable Option'

Read ArticleArticle Source: Think Progress
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Some of Daschle's proposals:

- Expand the Federal Employee Health Benefits Program (FEHBP), or create a group purchasing pool like it: Participants could choose their own provider and would have the security of knowing they could never lose their coverage. Employers could let their employers get coverage through a FEHBP plan only if they enrolled all of their workers, not just ones with health problems. The FEHP pool would also include a government-run insurance program modeled after Medicare and would have tremendous clout to bargain for the lowest prices from providers and push them to improve quality of care.

- Subsidize coverage for those who need it: The government would provide financial help on a sliding scale so nobody has to pay more than a certain percentage of their income for health insurance. Administered as a refundable tax credit, this protection would apply to employer-based health insurance as well as private insurance obtained through the pool.

- Strengthen Medicaid: Simplify and extend Medicaid to cover everyone below a certain income level. The federal government should pick up the tab for this expansion, and ensure that states don't' cut off people when the budget gets tight.

- Concentrate on the value of care: Strive to get more for our health care money by promoting research that compares drugs and treatments to determine which ones deliver the best bang for the buck. Daschle also proposes promoting prevention that would reduce the number of chronic conditions.

- Improve health care infrastructure:Adopt health information technology to lower expenses and allows rural residents to connect electronically with medical providers. Increase the number of community health cetners and government-funded clinics that provide basic care for the poor and uninsured.

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8.4
1.1
{"commentId":4128878,"authorDomain":"nearing"}

Funny he says that but the proposals look incremental to me.

We need Medicare for everyone NOW.

{"commentId":4128878,"threadId":"423515","contentId":"2129309","authorDomain":"nearing"}
  • 2 votes
Reply#1 - Wed Nov 19, 2008 4:26 PM EST
{"commentId":4135719,"authorDomain":"jiub"}

Me thinks incremental changes are the way to go for the time being.

We are already so far in the crapper that any sudden moves could be disastrous not only to the economy and the American People as we are all affected by it, but to Daschle's and Obama's reputation.

:-\

{"commentId":4135719,"threadId":"423515","contentId":"2129309","authorDomain":"jiub"}
  • 1 vote
#1.1 - Thu Nov 20, 2008 3:32 AM EST
Reply
{"commentId":4130765,"authorDomain":"greenarcher170"}

Wasn't Daschle from SD and defeated last election?

As to his timely wisdom. Hillary tried to move on this issue in 93' and the GOP cut her off at the knees and in essence marginalized her positions for the next 5 years. Scare tactics such as not choosing your doctor and waiting weeks for an appointment worked on the naive public.

Mike Moore's documentary "Sicko" is a free view on Youtube. If you haven't seen it, you don't know how bad it really is in this country.

{"commentId":4130765,"threadId":"423515","contentId":"2129309","authorDomain":"greenarcher170"}
  • 1 vote
Reply#2 - Wed Nov 19, 2008 6:46 PM EST
{"commentId":4132296,"authorDomain":"dixiedi"}

There are several things I see wrong with this proposal but the one that strikes me the most is that tax credit. Anyone who owes the government money as does not get their tax refund would not see that tax credit. I have no link, but I would bet a lot of people who do not have insurance because they can not afford it also have a defaulted student loans, back taxes or something that prevents them from getting their refund. That tax credit would not help them obtain insurance.

Many people also do not buy the insurance at work because it is just too darn expensive. Not only is the insurance itself to expensive, and the tax credit MAY help on that part, the co-pays are beyond their abilities so having that insurance, taking a portion of a possibly already income that is not enough to live on, will not help.

nearing,

Why do you think we need Medicare for everyone now. Medicare does not pay 100% of the bill, many people could not pay their share so they would still be without medical care.

{"commentId":4132296,"threadId":"423515","contentId":"2129309","authorDomain":"dixiedi"}
    Reply#3 - Wed Nov 19, 2008 8:43 PM EST
    {"commentId":4132562,"authorDomain":"greenarcher170"}

    If dozens of other industrialized countries can make socialized health care work then why can't America?

    Our govt. for too long has been fiscally irresponsible. Social Security and health care will eventually bankrupt this country unless something is done soon. Getting our priorities straight and not spending $15 billion a month in Iraq will help.

    Govt. was not meant to be all things to all people. Especially the federal govt. The federal govt has for too long been outside it's original mandate by the founding fathers (do I sound like Ron Paul?).

    We do not need bureaus, departments, task forces, hearings, etc. for every subject in American life.

    {"commentId":4132562,"threadId":"423515","contentId":"2129309","authorDomain":"greenarcher170"}
    • 1 vote
    Reply#4 - Wed Nov 19, 2008 9:03 PM EST
    {"commentId":4133059,"authorDomain":"nearing"}

    bluearcher:

    If dozens of other industrialized countries can make socialized health care work then why can't America?

    It certainly can.  And we have the luxury of researching  every system out there and taking the good from each and avoiding the bad.

    Getting our priorities straight and not spending $15 billion a month in Iraq will help.

    That would go a long way toward getting this off of the ground.

    {"commentId":4133059,"threadId":"423515","contentId":"2129309","authorDomain":"nearing"}
    • 1 vote
    #4.1 - Wed Nov 19, 2008 9:46 PM EST
    {"commentId":4153146,"authorDomain":"cardinalbiggles2112"}

    truth is they dont... ask ANY canadian...

    {"commentId":4153146,"threadId":"423515","contentId":"2129309","authorDomain":"cardinalbiggles2112"}
      #4.2 - Fri Nov 21, 2008 10:37 AM EST
      {"commentId":4154505,"authorDomain":"dixiedi"}

      alphaone,

      they don't what? Not trying to be a problem to you, I just didn't follow where your "they don't" came from.

      .

      One of my sisters has a friend in New Brunswick. Last year if took her almost 4 months to get in to see the Doc. If she had seen a doctor sooner, the hysterectomy may have been done before it was too late and she might have more than 6 months to live. That is a "might" I agree, but waiting 4 months to see a specialist because she had been a healthy woman all her life until the heavy vaginal bleeding started well after menopause (the nurse on the phone kept telling her it was part of her "change"). Oh that's great, health care via phone with a nurse who knows you better than you do.

      Reality. By the time she realized something was wrong it was probably too late. But a wait that long is just unacceptable. 

      {"commentId":4154505,"threadId":"423515","contentId":"2129309","authorDomain":"dixiedi"}
        #4.3 - Fri Nov 21, 2008 12:03 PM EST
        {"commentId":4158806,"authorDomain":"greenarcher170"}

        A 4 month wait? With respect, what was she doing wrong? I know from personal experience that that is not accepted in Canada.

        If nothing else, she could have "pitched a fit" or taken her case through the practice review board. I hesitate to blame your relative but.....

        {"commentId":4158806,"threadId":"423515","contentId":"2129309","authorDomain":"greenarcher170"}
        • 2 votes
        #4.4 - Fri Nov 21, 2008 4:22 PM EST
        {"commentId":4158877,"authorDomain":"nearing"}

        Many Canadians right here on the Vine are happy and wouldn't trade their system with ours even if we paid them.

        Not one has come a thread and complained since I have been around for a year and half.

        {"commentId":4158877,"threadId":"423515","contentId":"2129309","authorDomain":"nearing"}
        • 2 votes
        #4.5 - Fri Nov 21, 2008 4:27 PM EST
        {"commentId":4162000,"authorDomain":"PrimarySources"}

        This smacks of totally incomplete information.

        No one -- repeat, no one -- in Canada ever goes months on end without vital testing being done.

        Elective stuff, sure. We all accept that....not crazy about it, but there ya go.

        But I guaran-damn-tee there is more to this story than the system saying "we don't care how critical it is, you're not getting a test for months on end". There could be misdiagnosis at work here, or incomplete reporting of symptoms, or just being laissez-faire, because of denial, about following up on an initial consult.

        But as a 46-year 'experiencer' of the Canadian health system, this is one I'm not willing to buy on anecdotal evidence based on a "friend of a friend", a "friend of a sister", "some guy I once talked to at the shelter", or any other impeachable source.

        More factual data required to support the conclusion in question, please.

        {"commentId":4162000,"threadId":"423515","contentId":"2129309","authorDomain":"PrimarySources"}
        • 1 vote
        #4.6 - Fri Nov 21, 2008 8:54 PM EST
        Reply
        {"commentId":4159216,"authorDomain":"cliffbourgeois"}

        These proposals are still like treating a decapitation with a band aid. Full reform to a single payer system is the way to go since it solves many other problems caused by private health insurance besides just lowering costs and getting health care to the uninsured.

        {"commentId":4159216,"threadId":"423515","contentId":"2129309","authorDomain":"cliffbourgeois"}
        • 2 votes
        Reply#5 - Fri Nov 21, 2008 4:48 PM EST
        {"commentId":4169942,"authorDomain":"nearing"}

        I concur!

        {"commentId":4169942,"threadId":"423515","contentId":"2129309","authorDomain":"nearing"}
        • 2 votes
        #5.1 - Sat Nov 22, 2008 4:50 PM EST
        Reply
        {"commentId":4161228,"authorDomain":"greenarcher170"}

        Private health insurance for profit is an oxymoron. You pay a company to cover you with health care but they only make money by denying you the care you have paid for.

        Does it said stupid and unfair to others too?

        {"commentId":4161228,"threadId":"423515","contentId":"2129309","authorDomain":"greenarcher170"}
        • 2 votes
        Reply#6 - Fri Nov 21, 2008 7:33 PM EST
        {"commentId":4169930,"authorDomain":"nearing"}

        Could not agree more, bluearcher.

        {"commentId":4169930,"threadId":"423515","contentId":"2129309","authorDomain":"nearing"}
        • 2 votes
        #6.1 - Sat Nov 22, 2008 4:48 PM EST
        Reply
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