PERSPECTIVE FROM THE 19TH HOLE: This is the title I chose for my personal blog, which is meant to give me an outlet for one of my favorite crafts – writing – plus use an image from my favorite sport, golf. Out of college, my first job was as a reporter for the Daily Astorian in Astoria, Oregon, and I went on from there to practice writing in all of my professional positions, including as a Congressional press secretary in Washington, D.C., an Oregon state government manager in Salem and Portland, press secretary for Oregon’s last Republican governor (Vic Atiyeh), and a private sector lobbyist. This blog also allows me to link another favorite pastime – politics and the art of developing public policy – to what I write.
We are in for substantial changes in the way health care operates in this country.
That much is clear with President-elect Donald Trump’s pending appointment of Representative Tom Price of Georgia to be Health and Human Services cabinet secretary.
Trump made the announcement of Price’s appointment earlier this week, but, of course, as with most other high-level appointments in the new Trump Administration, Price’s elevation is subject to Senate confirmation.
Price won plaudits from some quarters in Congress when, as a representative, he proposed the “Empowering Patients First Act.”
According to the New York Times:
“His proposal would take health care in a fundamentally different direction, away from mandated coverage and care and toward a free-market approach, with fewer consumer protections and more freedoms for doctors.”
Senate Republican Mitch McConnell said “I can tell you where we’re going to start: With a process to repeal and replace ObamaCare.”
The “repeal and replace” language is noteworthy because it is viewed by congressional leaders to be easier to repeal ObamaCare, then replace it, than it would be simply to change ObamaCare. The point is that Americans, if Trump and Republicans have their way, would be left with a new health care plan, not nothing
Here is a list of key changes Price’s proposal would make:
- The requirement for insurance to cover pre-existing conditions would be available, not to everyone, but only to persons who have maintained coverage in the past, for example moving to the individual market from an employer’s health care plan.
- The mandate for Americans to have health insurance or pay a tax penalty would be eliminated, as would the requirement for larger employers to offer coverage.
- Instead, the Price proposal would offer tax credits for purchasing individual and family health insurance policies and also would use other tax breaks to coax more people into using personal health savings accounts.
- The bill would make it easier for doctors to defend themselves against medical malpractice lawsuits, especially if doctors followed clinical guidelines for treating medical conditions.
- The bill would make it easier for doctors to enter into private contracts with Medicare beneficiaries, thus opting out of federal Medicare structures.
- The bill would eliminate the federal health insurance exchanges, though states could contract with private entities to provide information – but only information, not enrollment – on prices and benefits offered by insurers.
- The bill would offer federal grants to states to form high-risk pools to subsidize insurance for low-income persons who otherwise might have difficulty finding insurance on the open market.
- The bill would allow insurers licensed in one state to sell policies to residents of other states.
There is more to the Price proposals than this list, but here’s hoping that the “Empowering Patients First Act” becomes a starting point for a larger, bi-partisan discussion of how to reform health care so it works better than ObamaCare.
It should not be the end and, with Democrats sure to be involved, it won’t be.
One of the huge problems with ObamaCare was that it was imposed by Democrats. It was not a product of a bi-partisan debate and decision. Therefore, its good points – and there are a number of them – were obscured by the “one size fits all” solution.
If Price and other Administration officials are smart, they will focus on replacing ObamaCare, not just repealing it.
And, if cooler heads prevail – a tough challenge in the emotionally-tinged political environment we have just survived – the result will be a better health care policy for all Americans.