Debating the President’s Portsmouth pitch (part 1)

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This is the first in a series of posts. I had written this as one piece, but it was way too long. So I am going to try it in lots of little nibbles. I will post one nibble every two hours over the next two days.

At a town hall meeting in Portsmouth, New Hampshire yesterday, the President said:

THE PRESIDENT: (L)et me just say there’s been a long and vigorous debate about this, and that’s how it should be. That’s what America is about, is we have a vigorous debate. That’s why we have a democracy. But I do hope that we will talk with each other and not over each other — (applause) — because one of the objectives of democracy and debate is, is that we start refining our own views because maybe other people have different perspectives, things we didn’t think of.

Where we do disagree, let’s disagree over things that are real, not these wild misrepresentations that bear no resemblance to anything that’s actually been proposed.

In the spirit of informed and vigorous debate, let’s look at what the President said about the pending legislation at yesterday’s Portsmouth town hall.

THE PRESIDENT: Now, let me just start by setting the record straight on a few things I’ve been hearing out here — (laughter) — about reform. Under the reform we’re proposing, if you like your doctor, you can keep your doctor. If you like your health care plan, you can keep your health care plan.

And yet here is what CBO said about the House bill:

CBO: In addition, CBO and the JCT staff estimate that nearly 6 million other people who would be covered by an employment-based plan under current law would not have such coverage under the proposal. That figure includes part-time employees, who could receive subsidies via an exchange even though they have an employer’s offer of coverage, and about 3 million people who would not have an employer’s offer of coverage under the proposal. Firms that would choose not to offer coverage as a result of the proposal would tend to be smaller employers and those that predominantly employ lower-wage workers … people who would be eligible for subsidies through the exchanges … although some workers who were not eligible for subsidies through the exchanges also would not have coverage available through their employers. Whether those changes in coverage would represent the dropping of existing coverage or a lack of offers of new coverage is difficult to determine. (p. 5)

According to CBO, the President’s statement is incorrect for a portion of these 6 million people who as a result of the House bill would lose employment-based coverage they would otherwise have under current law. Some of those 6 million people would lose the opportunity to get employment-based coverage, while others would “represent the dropping of existing coverage.” CBO reached similar conclusions. Here is a more detailed explanation of this problem that I wrote for an earlier draft of the Kennedy-Dodd bill, under which 10 million people would not have lost the health plan they would otherwise have under current law. CBO dialed this number down to 3 million for a later draft of Kennedy-Dodd.

This is an inevitable consequence of moving away from a system that is so heavily biased toward higher subsidies for employment-based coverage. My preferred plan would have a similar effect. Nonetheless, the President is overpromising, at least relative to CBO’s view of the House bill.

Continue to the next post in this series…

(photo credit: White House, Pete Souza)

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29 Responses to Debating the President’s Portsmouth pitch (part 1)

  1. UCB August 13, 2009 at 2:35 am #

    To (hopefully) clarify, the third 'quote box' is from the CBO letter to Rangel, and not from "THE PRESIDENT".

  2. Keith Hennessey August 13, 2009 at 2:40 am #

    Nice catch. Thanks. I've fixed it.

  3. Beverly Dunn August 13, 2009 at 6:04 pm #

    We are all confused whether the health care plan states that health care is available to illigal immigrants If not speciffically stated then how will they be eligible for coverage throuigh loopholes. I have been trying to find the language in the bill but cannot seem to find it I understand that rep Rand? wanted it stated that they would not be entitled to health care but that the committee voted it down along party lines. So many of my friends think that illegal immigrants are not covered and I say that there will be a way that they are covered. Please help me with this issue. Thanks, i am on your email list and would apprecitate an answer.
    Beverly Dunn
    west palm beach, fl. 33412
    561-784-6734

  4. Dean in Kerrville August 13, 2009 at 6:31 pm #

    I heard the President say that any public option would not be subsidized therefore would not unfairly compete with private insurance. Where's the fact-check on that?

    • Laura in Nevada August 14, 2009 at 6:18 am #

      No kidding! I have to believe that an additional 5% of my income, plus 8% of business payroll is one HECK of a subsidy!

  5. Laura in Nevada August 14, 2009 at 6:10 am #

    What's all the fuss about people who are "afraid they'll lose their health care coverage if they lose their jobs". Isn't COBRA a federal law? Don't states also provide legally for employees to continue their health insurance if they lose their jobs? Granted, the individual must pay for their own insurance, but the insurance (and continuation in the presence of pre-existing conditions) isn't really an issue, is it? Red Herring by Obama?

  6. Laura in Nevada August 14, 2009 at 6:16 am #

    If I'm an employer (like McDonalds, for instance) with a zillion minimum wage employees, it sounds like I can foist the responsibility for health care insurance off on a new government program for just 8% of payroll (or about $100 per month per employee). Unfortunately, that's only about a TENTH of the actual cost of the lowest rates for family insurance coverage. And illegal aliens will be covered with ZERO employer contribution. This plan will be bankrupt FAR sooner than Medicare …

  7. Harold August 14, 2009 at 3:14 pm #

    Illegal Alien coverage at American citizens expense is in the bill. Americans will pay taxes for their own health care, and for the Aliens health care.

    Sec. 59B, Pg. 170,line 1 – Any NON-RESIDENT alien is exemtp fron individual taxes.

    Sec. 152, Pg, 50-51 – HC will be provided to ALL NON-RESIDENT citizens.

    Now, does this answer the question, and are the politicians lying when they say the HC bill does not provide free health care to Illegal Aliens?

  8. MaggieB August 14, 2009 at 8:54 pm #

    I found this last Tuesday 8/11. Page 143 SEC. 246. NO FEDERAL PAYMENT FOR UNDOCUMENTED ALIENS. Nothing in this subtitle shall allow Federal payments for affordability credits on behalf of individuals who are not lawfully present in the United States. My trust factor for government is very low and getting lower with every page I read of HR 3200. Obama's number of 46 million uninsured in America IS counting the illegals in the mix. Of course, this bill will be rewritten and it could add illegals or Obama could give amnesty for all. Remember Obama meet this week with leaders of Canada and Mexico and promised immigration reform.

    • nancy magliari August 14, 2009 at 10:49 pm #

      if you cannot be asked to produce proof of citizenship when you go to vote because it would be discriminatory, it would follow that you could not be asked to provide proof when you sign up for the proposed socialized medicine plan! that's how they get around explicitedly excluding or including them!

  9. MaggieB August 14, 2009 at 8:58 pm #

    I may have missed the discusion but if not I wonder why no one is asking about the cuts to Medicare for nursing home care yet Obama gives billions to the UN to clean the air in other countriesThe criticism centres on the UN’s clean development mechanism (CDM), an international system established by the Kyoto process that allows rich countries to meet emissions targets by funding clean energy projects in developing nations.
    The market for CDM credits is growing fast. At present it is worth nearly $20bn a year, but this is expected to grow to over $100bn within four years. More than 1,000 projects have so far been approved, and 2,000 more are making their way through the process.

    A working paper from two senior Stanford University academics examined more than 3,000 projects applying for or already granted up to $10bn of credits from the UN’s CDM funds over the next four years, and concluded that the majority should not be considered for assistance. “They would be built anyway,” says David Victor, law professor at the Californian university. “It looks like between one and two thirds of all the total CDM offsets do not represent actual emission cuts.”

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