| Max Baucus and Chuck Grassley released a 41-page document outlining mechanisms for financing healthcare reform. Note -- this is not about delivery system reform or insurance reform. It is about the different ways that any reforms could be paid for.
Note, also, that this isn't an endorsement of all the options in the document. It is an outlining of all the options on the table. That's my sense.
There's several things in there -- partial rollback of benefits exclusion, a soda tax, President Obama's proposed limitation on charitable deductions -- that we've seen before. Nothing struck me as brand new, but I was skimming and my eyes glazed over a bit in the sections on FICA.
Also worth viewing: a separate document on how to expand coverage. There's also one on improving quality and lowering costs. Very dense reading.
Update -- A few people are saying that this is "easy" under single-payer because we could just use the money we're simply paying to private insurance. That's only easy if you somehow impose a tax on everyone exactly equivalent to the value of their current healthcare premiums. It isn't easy. It is absurdly reductive.
As long as the single-payer crowd sells pony plans and not real policy, it will be treated unseriously. HR 676 has financing mechanisms (honestly, it does go read them). I'm honestly a fan of the 676 financing mechanisms, but I have yet to see single-payer advocates get excited talking about their campaign for another payroll tax and a hike in taxes on rich people, which is in some ways a harder sell than healthcare reform.
This isn't me shilling. It's called tough love. You want to be taken seriously, act seriously. |