I have a few questions


Let us do the math, $461 billion to give tax credits to low and middle income Americans to offset cost of health insurance, $345 billion to expand Medicaid. 

It cuts $404 billion from Medicare and other programs (by reducing waste, but not benefits) and it raises $201 billion by placing a 40% excise tax on “generous” health insurance plans. 

What is it?  

No commentIt is the Senate Finance Committee version of health care reform

I have a few questions: 

  1. If all that waste was in the Medicare program, how did it get there in this efficiently run public plan?
  2. Given the financial trouble ahead for Medicare, why wasn’t this waste cut from the program before we even got into health care reform?
  3. Now that we have found a way to save $404 billion for a government that is heavily in debt and getting more so, why are we spending the savings on something new?
  4. Will companies with “generous” health benefit plans keep them generous just so they can pay a 40% excise tax?
  5. I see the words Medicare and Medicaid as they are cut, expanded and made more “affordable” but I don’t see those same words applying to private and employer based coverage and I don’t see any words that indicate the rate of increase in health care costs will change in the future.
  6. What is changing to make health care for the Americans not enrolled in Medicare or Medicaid affordable?




  1. Dick,you’re a smart man and have seen with your own eyes the abuse in health care. If the government spent a very small amount of money instead of the proposed government health care plan to aggressively pursue the cheaters in the medical profession we would have the best system on this planet. But because of the very large political donations, elected officials refuse to aggressively go after the cheaters. Tort reform would also go a long way to save money. Apparently there’s money to be made by the elected.
    I always ask myself why a individual will spend millions on a political campaign for a position that pays $100,000 to $200,000 per year.


  2. Good point. The veterans health care system is touted for it’s efficiency and how well it’s liked with employed doctors and numerous clinics. Why not build on that for all of Medicaid as well. OMG it’s an HMO.


  3. Dick

    I’m amazed at this common theme coming from supporters of Obama’s proposal – let’s pass the proposal and then we can spend the next 20 years fixing it. To your point, what evidence from the last 45 years indicates that the government can be successful at reforming government provided health care – beyond the obvious attempts at price controls.

    Two other questions to comtemplate:

    1. Will any of this sound and fury improve the health of Americans?

    2. Has anybody looked at the alternative of pouring money into community health clinics for the poor and uninsured instead of insurance for all?



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