Thursday, June 29, 2017

BIPARTISAN HEALTHCARE BILL

When  Social Security got in trouble back in 1981, a bipartisan commission was formed  (National Commission on Social Security Reform, informally known as the Greenspan Commission) that managed to come up with a plan that included increased in payments into Social Security.  A bill was passed in 1983.  Though there were lots of statements regarding overturning the law, it stuck.*

Then in 1986, President Reagan got a reconciliation bill passed that included a provision that Emergency Rooms must take all comers regardless of ability to pay.  There we no provision for the Federal government to cover the costs of this.  It was left up to hospitals to find a way.  The law has doe not seem to be opposed today.**

President Bush (Bush-43) narrowly got Medicare D passed (1986) in a bipartisan vote that provided some relief on prescription drug purchases.  This law still stands today unopposed  Though I believe the famous "doughnut hole" where prescription costs were not covered began to be eliminated. (see ACA below)***  Again there was no provision for the government to pay for this benefit.

Democrats passed a bill in 2010 called the ACA (Patient Protection and Affordable Care Act also known as Obamacare.).****  It was tailored to appeal to conservatives though no Republicans voted for it in the end.  This law has been strongly opposed by Republicans ever since.    There was an attempt to pay for this this bill, but I believe that Republicans objected to every attempt to do so: from the individual mandate, the business mandate, the tax on stock trading by the wealthy, the tax on artificial limbs. The Republicans have said they were going to Repeal and Replace this law ever since.

Currently, Republicans are attempting to develop a replacement for the ACA without hearings or amendments (both of which were numerous on the ACA) and without Democratic  votes.  In view of the above it seems as if you want a permanent law, then it  had been better be bipartisan, but as of this date, the Senate leadership is refusing such an attempt.  People are probably going to object to any bill that is passed (because it won't be free and will entail some restrictions) on health care so a bipartisan bill helps spread the blame.  The bipartisan nature helped the Social Security reform as everyone took the blame.

* https://en.wikipedia.org/wiki/Greenspan_Commission
** https://en.wikipedia.org/wiki/Emergency_Medical_Treatment_and_Active_Labor_Act
*** https://en.wikipedia.org/wiki/Medicare_Part_D
**** https://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act

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