White House Health Care Plan

The White House plan is online. I haven’t had time to read it myself, but there’s a quick summary at Talking Points Memo.

Among the highlights, which Brian goes over in more detail here:

  • A delayed start to a new tax on high-end insurance plans. It would go into effect in 2018, not the 2013 as initially proposed.
  • Ends the Nebraska deal giving a federal government subsidy for Medicaid.
  • It has no public option but creates an exchange system.
  • Was crafted to be in line with using reconciliation as a tactic for final passage.
  • As we reported earlier, the measure proposes giving the government new power to block insurance rate hikes.

Marc Ambinder provides another bulleted list. These are just some of the bullets:

  • it proposes to cover 31 million Americans who don’t have health insurance;
  • it creates a new federal facility to help states crack down on insurance industry abuses and unfair rate increases;
  • it includes significantly ramped up efforts to crack down on waste and fraud within the Medicare/Medicaid systems — this is a nod to Republicans (Peter Roskam and Mark Kirk are behind proposals to do just this);
  • it adds a Medicare tax of 2.9% on unearned income — hitting the wealthy; it immediately closes the Medicare Part D donut hole gap — something seniors should notice before the November 2010 elections if this gets through Congress;
  • it increases tax credits to families to help them buy insurance; it spends $11 billion on community health care centers
  • it increases fees for brand name (as opposed to generic) drugs, depriving the pharmaceutical industry of an extra source of profits

See also E.J. Dionne, “The Elephant at the Health Care Summit