The President's Health Care Reform Proposal

It’s up.  And since, many other people have summarized it, I won’t.

But here are my thoughts, in no particular order:

  • It’s a compromise between the House and Senate plans.  Since I’d take the Senate plan at this point (and like the House better), that’s fine with me.
  • There’s no public option – which, as I’ve argued before, doesn’t really matter since the public option left on the table is meaningless.
  • I’m not sure if the exchange is national – this will need clarification.
  • There’s a whole host of Republican anti-fraud stuff in there.  Expect the White House to hammer that as “bipartisan”.
  • The subsidies are larger, the costs to individuals are smaller.
  • The individual mandate seems lessened, but there is more of an employer focus.
  • It makes Medicaid more federally focused and removes the preferred state stuff (like Nebraska).
  • It’s going to cost more.  In the context of total health care spending, however, the amount is trifling.

Pass it.  Then let’s get to work on making it better.

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