Health Care Blog
Not in Health Reform: "16,500 Armed Bureaucrats"
Posted by on April 2, 2010 at 10:12 AM EDTAgain over the last few days, we've been reminded that opponents of reform will say and do anything, no matter how outrageous the charge, to cast doubt on health reform legislation that will reduce costs for American families and small businesses, expand coverage to millions of Americans and end the worst practices of insurance companies.
In the latest example from an ever-growing list of willful distortions, the American people are being warned that because of health care reform, the federal government will hire over 16,000 new IRS agents to enforce the new law. Indeed, in a March 22 interview with Fox Business News, Rep. Ron Paul declared that the bill would mean “16,500 armed bureaucrats.” This is a thoroughly debunked charge that has absolutely no basis in reality. In fact, earlier this week the widely-respected FactCheck.org looked into this charge and concluded that it was a “wildly inaccurate…partisan assertion” that is “based on guesswork and false assumptions, and compounded by outright misrepresentation.” FactCheck concluded: the “claim of 16,500 new agents simply lacks any foundation in fact.”
What makes this whole attempt at fear mongering even more ridiculous is that this legislation represents the largest middle class tax cut for health care in our nation’s history. The major task of IRS employees that will work on implementing this legislation will be to inform the American people of the different aspects of reform that they stand to benefit from and to make sure the historic health care tax relief is administered smoothly and efficiently. Indeed their first task is to inform millions of small business owners that they are eligible this year for tax credits that will cover up to 35 percent of their premium contributions for their employees and to start planning for delivering $400 billion in affordability tax credits the IRS will work with the health exchanges to deliver starting in 2014.
Getting the word out about these tax credits and delivering them smoothly and accurately will require relatively modest investments in technology and staff – even if that is less interesting to some than their fantasies about 16,000 gun-toting bureaucrats.What’s clear from all of this is that there are people who refuse to have a debate on the merits of health care reform. Maybe that’s because these ardent defenders of the status quo are worried about the consequences of stopping at nothing to deny the American people quality and affordable health insurance.
Linda Douglass is with the White House Office of Health Reform
Learn more about Health CareHealth Reform, One Week Later
Posted by on April 1, 2010 at 6:47 PM EDTToday, President Obama spoke to an audience in Maine to discuss how health reform will benefit individuals, families, and small business owners, making good on the promise he made during his last visit “that our government would once again be responsive to the needs and aspirations of working families, of America’s middle class.”
He talked about the misinformation that has been spread by opponents of the bill, including House Minority Leader John Boehner’s labeling of health reform as “Armageddon.” The President said:
After I signed the bill, I looked around. I looked up at the sky to see if asteroids were coming. I looked at the ground to see if cracks had opened up in the earth. You know what, it turned out it was a pretty nice day. Birds were still chirping. Folks were strolling down the street. Nobody had lost their doctor. Nobody had pulled the plug on Granny. Nobody was being dragged away to be forced into some government-run health care plan.
The President also referred to the polls and headlines stating that the nation is still divided on health care reform, replying, “It’s only been a week. Can you imagine if some of these reporters were working on a farm? You planted some seeds, and they came out the next day, and they looked, and nothing’s happened!”
He said that several major components of health reform will not be available until 2014, but that there’s plenty going into effect this year – benefits for small businesses being a good example. The President explained that Bill Milliken, a small business owner in Portland, can now qualify for tax credits that make it easier for him to provide his employees with health insurance.
Starting now, small business owners like Bill will have the security of knowing that they can qualify for a tax credit that covers up to 35 percent, over a third of what they pay for their employees’ health insurance. And starting now -starting now, small business owners that provide health care for their workers can sit down at the end of the week, they can look at their expenses, and they can begin calculating how much money they’re going to save. And for small business owners who don’t currently provide health insurance, they’re going to be able to factor in this new benefit when they’re deciding to do so.
Now, it won’t solve all our problems, but it means that employees that work for Bill have a better chance of keeping their health care or getting health care. And if they’re already getting health care, it means Bill has got some extra money. That means he might hire that extra worker, right?
So this health care tax credit is pro-jobs, it’s pro-business, and it starts this year.
Learn more about Health CareWhat Health Reform Means for You and Your Community
Posted by on April 1, 2010 at 4:00 PM EDTOver at the Health Reform section of WhiteHouse.gov, we’ve compiled a lot of information on what health reform means for Americans, whether they get insurance through their work, buy it themselves or for their families, have a small business, are on Medicare, or just don’t have any insurance at all.
But there are obviously other ways to break down the information, so by popular demand we are also providing these fact sheets on what reform means for some of the different communities that make up America. If you or somebody you know is interested, by all means have a look, print it out, or send it around:
- Health Reform for American Families (pdf)
- Health Reform for Children (pdf)
- Health Reform for Young Adults (pdf)
- Health Reform for Early Retirees (pdf)
- Health Reform for Seniors (pdf)
- Health Reform for African Americans (pdf)
- Health Reform for Latinos (pdf)
- Health Reform for Rural Americans (pdf)
- Health Reform for Women (pdf)
- Health Reform for Small Businesses (pdf)
Learn more about Health CareSeniors Can Rest Assured
Posted by on April 1, 2010 at 1:50 PM EDTThroughout the health care reform debate, we’ve seen opponents of reform come out in full force to misrepresent how this legislation will affect the American people. For months they have been targeting seniors---trying to deceive them into thinking that the President’s plan will reduce their guaranteed benefits. This is simply untrue. Under the new health reform law, no guaranteed Medicare benefits will be cut. Here is the real truth: The new health reform law will lower costs for seniors while improving the quality of care. That’s why seniors groups like AARP strongly support the new law. Let’s take a look at some of the key benefits for seniors:
- Under the new health reform law health care reform, seniors will get relief from exorbitant prescription drug costs that millions face when reach the gap in coverage known as the doughnut hole. This year, Medicare beneficiaries will get a $250 rebate if they hit this doughnut hole. And next year, they will receive a 50% discount on brand-name drugs in the donut hole. By 2020, the prescription drug donut hole will be completely closed. As AARP noted in its statement yesterday, “by completely closing the doughnut hole, people in Medicare Part D thankfully no longer have to make the tough decision to either pay bills or split pills.”
- Right now, seniors pay up to 20 percent of the cost of many of their preventive services. But next year, thanks to health reform, Medicare beneficiaries will receive free preventive care and annual wellness checkups at no cost.
- Reform will strengthen the financial health of Medicare through the elimination of waste and fraud, and by ending overpayments to private insurance companies. Through reform, unwarranted subsidies to private health plans will be reduced. Medicare’s guaranteed benefits will be protected.
- Seniors will see their care improve as we move to a system where providers are rewarded based on the quality of their care. With these changes, physicians and hospitals will be incentivized to reduce medical errors and coordinate care to keep people healthy.
So, while opponents of reform try to distort the facts and spread fear, seniors can rest assured that their coverage will be more comprehensive and more affordable as a result of health reform.
Linda Douglass is with the White House Office of Health Reform
Learn more about Health CareBig Benefits for Small Businesses in Health Reform
Posted by on April 1, 2010 at 10:47 AM EDTEd. Note: Read more about benefits for small businesses in our Health Reform section.
Few aspects of our health care system provided a greater impetus for reform than the degree to which the status quo created disincentives, barriers and obstacles for responsible behavior. Take, for example, the case of small businesses that want to provide health care for their workers.
Recently, someone I know who runs a very small company that provides health care to its workers recounted to me his decision to hire a well-qualified job applicant who had undergone surgery for a serious condition. The moral choice was clear to him, but he told me that he knew from past experience that a single serious illness of an employee could drive premiums so high he might be forced to cut back health benefits to his 13 existing employees. These are the cruel choices that our current health care system imposes on those small business owners who want to do right by their workers.
Small business owners trying to do the right thing by providing health care to their workers face not a smooth road, but a difficult obstacle course. Compared to large businesses that have bargaining power and the ability to pool risk, the owners of millions of very small businesses face premiums that are 18% higher and administrative costs three times greater. Earlier this year, many small businesses reported rate increases ranging from 20% to 40%. And that does not even capture the constant uncertainty: the knowledge that they are always just one single worker’s serious illness away from being forced to choose between the health security of their workers and the economic health of their business.
With the fundamental insurance reforms and new health exchanges that are at the heart of the recently signed health reform bill, any small businesses or non-profit with 100 employees or less will be able to enter the new health exchanges and, for the first time, benefit from the same negotiating muscle and choices that their larger competitors enjoy today.
But as President Obama will highlight today, the beginning of change will not have to wait for full implementation of all aspects of health reform. Starting this year – indeed starting retroactively to January 1, 2010 – a new small business health care tax credit will be in effect that will provide a 35% tax credit on health premiums, with the credit rising to 50% in 2014. A similar tax credit will even be available to non-profits. This type of small business tax relief – long championed by Senator Durbin and many other members of Congress from both parties – is targeted to where the barriers and lack of coverage are the greatest. The $40 billion in tax credits over ten years will be aimed at many of the four million small businesses with under 25 employees (just 53 percent of firms this size provide coverage), and will be most generous for the firms with 3 to 9 workers, whose rate of offering health insurance has fallen from 58 percent in 2002 to just 46 percent in 2009.
A small business with 12 full-time employees that fully paid for health care could see tax relief of over $25,000 in 2010 – and over $40,000 in 2014. That’s not a lot for Wal-Mart perhaps, but it could be enough to help support a new hire, a critical new investment, or health coverage for part-time workers at hundreds of thousands of small businesses across the country.
Yet the benefits of such newly-passed provisions like the small business health care tax credit cannot be measured only in dollars and cents: their value also lies in the importance of ensuring that our health policies put wind at the back – not sand in the face – of those employers who want to do the responsible thing for their workers and their families.
Gene Sperling is Counselor to the Secretary of the Treasury
Learn more about Health CareSelective Health Reform Studies Misleading Young Adults
Posted by on March 30, 2010 at 8:42 PM EDTFor months, independent analysts have consistently debunked health insurance industry-funded studies claiming that health reform would lead to large price increases for people seeking insurance. The core flaw in these so-called studies - exposed again and again - is that they single out one aspect of reform and paint alarmist conclusions while ignoring all other aspects of the legislation that would reduce costs and make health care affordable for families.
Disappointingly, we're now seeing similarly selective approaches to analyzing the impact of health reform from very different sources. Yesterday, the AP published the results of a so-called analysis of the impact of health reform on younger Americans. But as with prior flawed analyses, the AP report explicitly acknowledges that it looks only at the law's 'age rating' provisions in isolation, while completely ignoring the parts of this legislation that will reduce costs and increase access for young adults. There are critical pieces of the legislation that this so-called analysis left out.
First, a key omission from the second paragraph of the story:
“Beginning in 2014, most Americans will be required to buy insurance or pay a tax penalty. That's when premiums for young adults seeking coverage on the individual market would likely climb by 17 percent on average, or roughly $42 a month, according to an analysis of the plan conducted for The Associated Press. The analysis did not factor in tax credits to help offset the increase.” [Emphasis added]
An analysis that selectively omits tax credits doesn’t look at the true impact of the legislation. The reality is that under health reform, millions of young people will be entitled to tax credits to help them afford coverage. A young single person making roughly $43,000 or less will qualify for credits to help him or her afford coverage. A selective analysis of the cost to young people that excludes tax credits available to them is simply inaccurate.
Second, the piece fails to mention that under health reform, young adults will have the option of purchasing a low-cost “young invincible” policy as an alternative to more comprehensive coverage. Young adults will have the option of purchasing a lower level of coverage that meets their needs. Those who still cannot afford coverage will qualify for a hardship waiver. And of course, thanks to health reform, young adults will now be able to stay on their parents’ coverage until they turn 26. As a result of health reform, young adults who previously would not have carried insurance will now have the security of knowing that they won’t be driven into debt by accident or illness as they are just starting their lives out on their own.
Finally, it’s important to take a close look at the source of some of the analyses in the story. For example, the piece cites research done by consulting firm Milliman, Inc. – a firm that has worked for the insurance industry for years.
The bottom line is that the insurance industry will do everything within its power to fight these reforms that are going to take the power out of their hands and put it squarely in the hands of consumers. So young adults should be sure to get the facts: health reform will make insurance more affordable for millions of Americans under the age of 30.
Linda Douglass is with the White House Office of Health Reform
Learn more about Health Care
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