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A Defining Moment

01/22/10 | by Adam Dougherty [mail] | Categories: Financing, Congress, Covering the Uninsured

Broad consensus surrounds the viable path that should now be taken in Congress: Pass the Senate Bill and Fix it Through Reconciliation. Paul Krugman lays it out quite bluntly , and 47 of the nation's leading health policy experts have signed on, as well. Below are our thoughts for your reference, and a reminder of what will occur if Congress falters:

Weighing the Options in Federal Reform
Op-Ed on How to Restore California to Greatness

The Consequences of Reform Failure

From the White House Council of Economic Advisers:

-Health care expenditures would likely rise from their current level of 18 percent of GDP to 28 percent in 2030 and 34 percent in 2040
-The number of uninsured people in the United States would rise from 46 million in 2007 to 72 million in 2040
-Essentially all of the rise in average employee compensation due to increasing productivity over time would go to health insurance, and essentially none would go to take-home wages
-Steeply rising Medicare and Medicaid spending will be amplified by a 65% increase (25 million people) in the 65+ population resulting in unsustainable increases in the budget deficit

From the Urban Institute Health Insurance Policy Simulation Model:

-The amount of uncompensated care would more than double in 45 states
-Every state would see Medicaid/CHIP spending rise by 75%
-Every state would see the employer-sponsored insurance (ESI) population degrade
-27 states would see ESI premiums double, and 46 states would see employer costs increase by 60%
-The number of uninsured would increase by more than 30% in at least 27 states

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In the wake of successful passage of the most comprehensive federal health legislation since Medicare, the focus now comes back to the states for effective implementation. California is in the midst of an unprecedented fiscal crisis, and many state health programs face an uncertain future. For California's uninsured population and safety net system, it is of the utmost importance to connect the dots between the state budget, program financing, the §1115 waiver, and public-private partnerships as a bridge to full federal reform implementation. This blog will allow our readers to be better informed on all issues regarding reform's incremental induction, in addition to the latest developments out of Sacramento and from around the state. Stay tuned for regular updates, and as always, your comments and questions are welcomed!

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