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Understanding Healthcare Reform


(h/t The Daily Dish)



Here’s Ezra Klein on some of the cost savings measures contained in the bill.

Behind the acronym [IPAB] will be 15 presidential appointees, each confirmed by the Senate. They’ll be drawn from the health-care industry, academia, think tanks and consumer groups. Their reform proposals will have to pass through Congress, but they will have some advantages: If Congress doesn’t act, their recommendations go into effect. If Congress says no but the president vetoes Congress and the veto isn’t overturned, their recommendations go into effect. If Congress wants to change their recommendations in a way that’ll save less money, it will need a three-fifths majority. Oh, and no filibusters allowed.

The hope is that this will free Congress to permit cuts by making it easier for them to dodge the blame. “Putting the knife in someone else’s hand will be a relief,” says Robert Reischauer, director of the Urban Institute and a former director of the Congressional Budget Office. “It will allow Congress to rant against the cuts without actually stopping them.”

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  1. Pat
    September 24, 2010 at 7:09 am

    Nice video, but very simplistic on how we will pay for the $1 trillion bill. It will be very interesting to watch the politics surrounding cuts in medicare-needed in order to make the bill deficit neutral. Look to what's happening in MA as a pre-show event. I remain skeptical.

  2. September 24, 2010 at 9:54 am

    Well, the video is meant to be a simple so average people can understand it. But it's a fair point. The MA project doesn't have nearly any of the cost savings features that the Federal bill has. But you're right that's we're going to have to see – but we should also continue to push for tougher provisions on controlling costs.

  3. pat
    September 24, 2010 at 10:32 am

    Yes. Controlling waste and fraud, and at a practical level, improve healthcare delivery efficiency-which at the moment (and historically), has been rendered inefficient by government bureaucrats and policy makers out of touch with the front line.

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