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</p>Amidst all the intense speculation about quickly passing the Presidents health care agenda through the Budget Reconciliation process before the Easter Recess, ordinary Americans should remember one thing: the House of Representatives must first pass the 2,700-page, $2.5 trillion, Senate health bill. So, the next big step in the national health care debate is floor action in the House of Representatives, where House Speaker Nancy Pelosi must round up at least 216 votes.
Heritage analysts have conducted some extensive research and analysis of the provisions of the giant Senate bill. If the House passes the Senate bill and it goes to the Presidents desk for signature, it then would become the law of the land. For all intents and purposes, the legislative debate would then be over.
Regardless of Administration or Senate leadership promises to fix the new law (the Senate bill) through the Budget Reconciliation process, there are no guarantees. Any fixesif they did come aboutwould have to survive another round of Senate floor action. So it is worth recalling what the Senate bill would mean for Americans were it to become law.<spanid="more-28332"></span>
- <ahref="http://www.heritage.org/Research/HealthCare/bg2369.cfm">Failure to address the drivers behind rising spending in health care. The Senate bill attempts to control costs by imposing heavy new federal regulations and punitive taxes on high-ticket medical expenditures such as medical devices, prescription drugs, and high-cost insurance plans. This top-down approach focuses on the symptoms, rather than the causes, of increasing health spending. Health insurance premiums, particularly in the individual market, will go up.
- <ahref="http://www.heritage.org/Research/HealthCare/cda1002.cfm">An individual mandate with disastrous unintended consequences. To expand coverage, the bill includes guaranteed issue of coverage combined with an individual mandate. However, rather than encourage young invincibles to carry insurance, the mandate, which would be less expensive than insurance coverage, would create incentives for young and healthy adults to pay the penalty rather than buy and carry a costly health plan. This would destabilize the insurance market by reducing the spread of risk, leaving the elderly and sickly in insurance risk pools. Premiums would thus skyrocketfurther discouraging healthy individuals from obtaining care.
- <ahref="http://www.heritage.org/Research/HealthCare/wm2774.cfm">Stringent federal requirement push private insurers towards insolvency. The combination of an excise tax on high-cost insurance plans, a federally-defined minimum medical-loss ratio, and federally-defined required benefits could push private insurers to going out of business, should they be incapable of meeting all three requirements and simultaneously covering the cost of enrollees care. Alternatively, it could mean that health insurers, too big to fail, would become the next big industry recipients of taxpayer bailouts.
- <ahref="http://www.heritage.org/Research/HealthCare/bg2364.cfm">A public option in disguise. The Senate bill requires the Office of Personnel Management to establish and manage health plans in the state exchanges to compete against private health plans. The bill expands the powers of this federal agency. This could lead to a de facto public option with federally defined premiums, benefits, etc: private insurance in name only. Of course, if the government sponsored health plans do not effectively compete against the other plans, it is likely that they will also be eligible for future federal bailouts at the taxpayers expense.
- <ahref="http://www.heritage.org/Research/HealthCare/wm2767.cfm">Government subsidies which penalize marriage. The structure of the subsidies offered by the Senate bill to purchase insurance are inequitable, offering more financial assistance to non-married couples than to a married couple with comparable income. This is bizarre social policy.
- <ahref="http://www.heritage.org/Research/HealthCare/wm2756.cfm">Trillions in new federal spending, questionable savings. Congressional liberals claim that their health care proposals are deficit neutral. In fact, they are based on budgetary gimmicks and hidden costs. When these are accounted for, the real cost of the Senate bill skyrockets, further augmented by the implausibility of the many promised savings in the bill.
- <ahref="http://www.heritage.org/Research/HealthCare/wm2757.cfm">A special Medicaid deal for Nebraska. The Senate bill would force all federal taxpayers to cover the extra cost of expanding Medicaid in Nebraska. It is worthy to note that the Presidents proposal would extend the taxpayer subsidies to all states, increasing the total cost of the bill.
- <ahref="http://www.heritage.org/Research/HealthCare/wm2744.cfm">Expanding Medicaid on the states budgets. Though the federal government would initially cover most of the cost of expanding Medicaid, states would eventually have to pick up a portion of the cost. This comes at a time when states are cutting spending in Medicaid and other areas to accrue savings and avoid increasing debt. In fact, <ahref="http://www.heritage.org/Research/HealthCare/wm2712.cfm">we show that states could save significantly if they were to drop their Medicaid programs altogether, which could become an appealing option after adoption of the Senate bill.
- <ahref="http://www.heritage.org/Research/HealthCare/wm2737.cfm">Encourages employment discrimination. The structure of the bills employer mandate would <ahref="http://www.heritage.org/Research/HealthCare/wm2716.cfm">discourage employers from hiring workers from low-income families and from offering insurance to all employees if a large portion of a firms workforce consists of low-income workers.
- <ahref="http://www.heritage.org/Research/HealthCare/wm2730.cfm">Disparate federal assistance for families of comparable income. The generous subsidies available to purchase insurance in the exchanges would be available to only a select few of the millions that fall within the eligible income bracket. This would result in thousands of dollars in additional federal assistance for some individuals and little to no assistance for others, regardless of equal income.
- <ahref="http://www.heritage.org/Research/HealthCare/bg2350.cfm">Taxing families health benefits. An excise tax on high-cost insurance plans is included in the Senate bill with the intention of lowering premiums. However, this tax on insurers would be passed down to the consumer, further raising premiums.
- <ahref="http://www.heritage.org/Research/HealthCare/wm2706.cfm">Numerous new taxesand not just for the wealthy. President Obama has promised not to introduce new taxes that would affect the middle-class, but the Senate bill would impose several new punitive taxes on to Americans of every financial background.
These policies are all embodied in the Senate health bill. For further analysis of the Senate bill,*<ahref="http://www.heritage.org/Research/HealthCare/bg2353.cfm">click here.*Congress should take a different route and <ahref="http://www.heritage.org/Research/HealthCare/bg2377.cfm">start over to do health care reform right.
</p>Despite insurgent threats to murder Iraqis who dared to vote in the parliamentary elections, yesterday’s Iraqi elections went as well as could be expected. There were dozens of bombs that exploded in Baghdad and other cities, killing at least 36 people, but many Iraqis shrugged off the violence and risked their lives to vote. <ahref="http://news.bbc.co.uk/2/low/middle_east/8556065.stm">
</p>A <ahref="http://www.bettycrocker.com/recipes/dishes/pie%20and%20tart%20recipes">piecrust promise is one that is easily made and easily broken. The promise more a rumor than anything else that the <ahref="http://www.politico.com/news/stories/0310/34007.html">U.S. Senate will use the reconciliation process to adopt a strong ban on abortion funding if the House passes the Senate-approved bill is flakier than most. Never before in the history of the 34-year abortion funding debate have pro-life members of Congress approved a bill containing abortion funding on the promise that a subsequent vote will fix the problem.
</p>Most everyone agrees that decreasing the number of the uninsured is an important goal of health care legislation. What is not agreed upon is the best way to achieve that goal. Obamas health care plan depends on expanding the number of Americans enrolled in Medicaid – the government-run program for the poor and disabled. <ahref="http://www.cbo.gov/ftpdocs/108xx/doc10868/12-19-Reid_Letter_Managers_Correction_Noted.pdf">The Congressional Budget Office (CBO) estimates the Senate bill would account for about 50 percent of the reduction in the uninsured population at a cost of $395 billion over 10 years.
</p>All high school math teacher Bradley Johnson wanted to do was honor our nations history and religious heritage the same way he always had. <ahref="http://www.signonsandiego.com/news/2010/mar/02/judge-sides-teacher-god-banners-display/">For twenty five years, a red, white and blue-striped banner adorned his classroom walls with national maxims such as In God We Trust, One Nation Under God, God Bless America, and God Shed his Grace On Thee. A second banner accompanied it, containing an excerpt from the Declaration of Independence, All Men are Created Equal and They Are Endowed by Their Creator.
</p>Yesterday, 81 international students living in the U.S. on student visas were <ahref="http://www.nytimes.com/2010/03/05/us/05fraud.html?ref=todayspaper">arrested at a Miami language school for repeatedly not showing up for class. No, this wasnt Senior Skip Daythese students were violating the conditions of their visas which require them to actually go to school here in the U.S. (students must attend class for at least 18 hours a week). Immigration and Customs Enforcement (ICE) for its part took the appropriate steps to stop these students and the school from abusing and defrauding the visa process.
</p>The February report showed that, although the labor market is still treading water, there is room for optimism. After all, almost every industry except for construction is either adding jobs or is flat. Job growth in the service sector was positive thanks to health care and temporary services. Manufacturing and retail trade were basically flat over the past month. The economy still shed jobs, but this reduction was the result of steep job cuts in the construction industry, many of which can likely be attributed to last months epic blizzards. Overall, the employment picture continues to improve; job creation is occurring in more and more business sectors.
</p>As Heritage analysts have noted <ahref="http://www.heritage.org/Research/HealthCare/wm2498.cfm">time and <ahref="http://budget.house.gov/hearings/2010/01.21.2010_CaprettaTestimony.pdf">again, spending from congressional liberals health care proposals would be in the trillions, growing the federal deficit. The President has proposed a modification of the Senate bill with provisions that would make it even more expensive. *At last weeks Health Care Summit, hosted by the White House, <ahref="http://www.washingtonpost.com/wp-dyn/content/article/2010/02/25/AR2010022504074.html">Rep. Paul Ryan (R-WI) echoed these same concerns over the true cost of the <ahref="http://www.heritage.org/Research/HealthCare/wm2816.cfm">Presidents proposal for health care reform. Thus far, neither the President nor the leaders of Congress- not one-* have responded to Ryans indictment:
</p>What a difference a question makes. A couple of weeks ago, <ahref="http://blog.heritage.org/2010/02/18/wapo-poll-misrepresents-citizen-united-decision/">we exposed the biased and misleading questions behind a widely-cited <ahref="http://www.washingtonpost.com/wp-dyn/content/article/2010/02/17/AR2010021701151.html">Washington Post poll, which supposedly found broad, bipartisan support for legislative limits on speech following the Supreme Courts recent decision in the Citizens United case. The Center for Competitive Politics, however, has now released a <ahref="http://www.campaignfreedom.org/newsroom/detail/poll-on-citizens-united-shows-support-for-free-political-speech">poll with dramatically different findings.
</p>So President Obama wants to slap a tax on banks, but should you really care? Absolutely. Those taxes are going to wind up costing YOU money, whether youre a customer, a bank employee or an investor, according to the non-partisan Congressional Budget Office (CBO).
</p>While Congressional leaders are feverishly plotting to jam the hugely unpopular Senate health bill through the House of Representatives, the moment Speaker Pelosi thinks she has the votes, House liberals are also tinkering around with the Federal Employee Health Benefits Program (FEHBP). This is the program that covers federal workers and retirees; it is a consumer driven program of competing private health plans. Congressional liberals would like to make it look a lot more like Obamacare.
</p>The stock market reacted favorably this morning when it was announced that the number of people on payrolls fell by 36,000 in February, better than the 50,000 loss expected by economists. The unemployment rate held steady at 9.7%, also slightly better than expected.
</p>Stimulus Bill spending crowds out the private sector. There are more government jobs competing with private market jobs and it is not a level playing field. The government jobs are paid by the taxpayers regardless of whether their employers run them prudently because it can operate at a loss indefinitely until the government goes bankrupt and the federal spigot must be turned off. Jane Businesswoman in the private sector though has to remain profitable and compete.
</p>When Attorney General Eric Holder announced that he intended to try Khalid Sheikh Mohammed and five other terrorists* in a civilian court in New York City rather than in a military tribunal, we here at The Heritage Foundation condemned it as <ahref="http://blog.heritage.org/2009/11/19/morning-bell-a-historically-bad-decision/">“A Historically Bad Decision.” It may have taken the Obama administration four months to fully realize just how terrible Holder’s judgment was, but <ahref="http://www.washingtonpost.com/wp-dyn/content/article/2010/03/04/AR2010030405209.html">today’s story from The Washington Post is great news for the rule of law and national security:
</p>One of the central arguments President Barack Obama has made on behalf of the health care plan he wants Congress to approve in coming weeks is that it would begin to address the problem of rising costs and thus also begin to bring down future federal budget deficits.