or overstepping the boundaries of government? Which of these best describes the recent “Healthcare for All” bill supported by an overwhelming majority of the Massachusetts Legislature (154 to 2 in the House and 37 to 0 in the Senate) and Govenor Mitt Romney? The plan’s objective is one shared by all concerned about the unisured, responsible quality healthcare for all. It differs from many other universal plans in several ways.
The bill requires individuals to provide personal coverage, just like the state’s laws on auto coverage. Massachusetts is the first state requiring individuals to have health insurance or prove they can self-insure.
In addition, the bill provides funds to make sure those eligible for Medicare and Medicaid are enrolled. It subsidies healthcare insurance for those who don’t qualify for government programs and can’t afford insurance. The state expects to pay for the subsidies out of a $1 billion fund set aside for providing healthcare for those who can’t afford it.
The bill currently requires employers to pay $295 per unisured employee. “That’s likely to be adjusted by me,” stated Governor Romney. Will he wield the line-item veto pen?
Joe Klein at Time Magazine describes the Romney Healthcare plan this way:
Massachusetts now spends about $1 billion a year to provide emergency health care for at least 500,000 uninsured citizens. About 200,000 of those are young people, predominantly male, who are making enough money to buy health insurance but figure they don’t need it. They would be required to buy a relatively inexpensive health insurance policy, with higher deductibles and co-pays—that’s where the “mandate” comes in. Another 100,000 are extremely poor people who are eligible for Medicaid; a concerted effort would be made to bring them into the system. The remaining 200,000 are the people who have been most neglected by the system in the past: the working poor, people who have low-end service jobs or work part time for employers who don’t offer health coverage.
According to USA Today, Mass. Gov. Romney’s health care plan says everyone pays , other healthcare proposals have focused on expanding government healtcare coverage for the poor and have largely failed. Romney put distance between his proposal and the Clinton plan, saying “we don’t need Hillary-care.”
In an article by The Washington Post, Mass. Bill Requires Health Coverage, the plan goes much farther than any other state but is by no means finalized. It leaves the task of determining exactly how much some low-income residents will pay for their new, more affordable policies to a new agency that would serve as a liaison between the government, policyholders and private insurance companies.
Because of that uncertainty, some still worry that the residents required to buy insurance would not be able to.
In any event, a creative approach which does not unduly burden employers or tax payers. As long as it does not place too great a burden on the poor, then it is a very good start.