July 17, 2009 5:02 PM

Obama "Confident" Congress Will Accept Cost-Cutting Plan

By
Stephanie Condon
Topics
Health Care
5170274One day after the Congressional Budget Office Director said Democrats' current health care legislation will not slow the long term growth of health care costs, President Obama said he is committed to signing legislation that does just that.

Speaking from the White House Friday, Mr. Obama said he has given Congress a proposal that should "bend the cost curve so we're not seeing huge health care inflation."

"I'm actually confident they may adopt these proposals," Mr. Obama said.

The White House has proposed establishing an independent, non-partisan commission of doctors and other health experts to oversee the costs of Medicare. White House Budget Director Peter Orszag described the proposal in a letter (PDF) Friday to Pelosi and other Democratic leaders.

An existing group called the Medicare Payment Advisory Commission already produces yearly reports with ways to bring down costs, but the group's report is only advisory and "ends up sitting on a shelf," the president said.

"We want to force Congress to make sure they are acting on these recommendations to bend the cost curve each and every year," Mr. Obama said. "We need an independent group that is empowered to make these changes, and that's something we've proposed."

"I'm confident if we work with the foremost experts in the field we can find a way to eliminate waste (and) slow the growth of costs," he added.

The president also reiterated today his commitment to keeping health care reform deficit-neutral. "Health insurance reform cannot add to our deficit over the next decade, and I mean it," he said. He repeated himself for emphasis.

While health care legislation has already passed out of two of the three committees it must go through in the House, negotiations have slowed in the Senate, with six moderate senators signing a letter today asking for more time to "achieve a bipartisan result."

"Now is not the time to slow down," Mr. Obama said.

He said that "unprecedented progress" has already been made coming to agreement on issues like preventive care, the need to simplify insurance forms, the need to prevent the denial of coverage for pre-existing conditions, the establishment of a health insurance exchange, the need for patient choice, and the need to ensure coverage in the event that a patient changes or loses his or her job.

Washington has achieved "a level of consensus over health care reform that we've never seen before in this country," he said.

Without these reforms, he said, the nation would be "consigning our children to a future of skyrocketing premiums and crushing deficits."

Mr. Obama said those who were skeptical health care reform would be accomplished this year are "badly mistaken."

"We're going to be putting in a lot more hours," he said. "There are going to be a lot more sleepless nights."

Add a Comment See all 40 Comments
by speakinup22 July 19, 2009 3:53 PM EDT
"Without these reforms, he said, the nation would be "consigning our children to a future of skyrocketing premiums and crushing deficits."


What a liar !


ObamaNation is striking again.
Reply to this comment
by cydygitt1 July 19, 2009 4:52 PM EDT
Considering that health care costs in America have skyrocketed 130% in just the past 10 years, costing $2.5 Trillion or 18% of GDP in 2008, predicted to cost double or $5 Trillion and 36% of GDP in just 2 decades without any health care reform, what PROOF do you bring to the table without foxnewsus propagandus that could possibly show a decrease in health care costs and that the predicted $50 Trillion in unfunded future liabilities (mainly due to Medicare/Medicaid costs) is false.

Please......we're all waiting for your false republiCON rhetoric!
by jsd330 July 19, 2009 10:53 PM EDT
cydygitt1 Where are your facts coming from? I don't see any refrences or web sites posted. You talked about a DMV, yes they are state run. Have you ever gone to a VA hospital, IRS office, Veteran affairs office,social security office? Well I have and the federal government has some of the most inefficient operations I have ever seen. and long waiting times for something simple. From your posts it looks like you're one of the many just looking for a government handout,and you don't care who pays as long as you don't have to.And I am not a republican conservative. I'm an independent and I've been thru a government run health system. The militarys, so I know how the government runs health care, and I visit vets at the VA hospitals. So I pretty much know what goes on.
by mattcat25 July 19, 2009 2:48 PM EDT
Every Amercian is/has already been TAXED by the overly implemented high cost of Private Insurance Healthcare Coverage. The INVISIBLE TAX of high charges from HMO, Insurance Co., and Big Pharmaceutical Companies has increased costs and caused hardships for Americans.
Reply to this comment
by goingbroke July 18, 2009 11:57 PM EDT
if oboma is so good lets put every goverment employee from local to fed on his helth plan for 12 months, to test his wonderful idea
and add all of their retirement plans to ss to help get it out of debt
than we will see how many of his cronies vote for him
Reply to this comment
by cydygitt1 July 19, 2009 11:24 AM EDT
enriquieGonzales delusionally states:
"Congress doesnt want it for itself. Why would they!!!! Ever been to a DMV."
--------------------

Apparently you are not a citizen or have a green card, since most American citizens already know that each state has its own DMV and the congresscritters have no say whatsoever on this state's rights issue!

Please go back to your own country and take your illegal relatives with you!
by Yes_ABWH_Fan July 18, 2009 10:43 PM EDT
A fundamental and fast way to reduce costs in Health Care is to require Outcome-Based Health Care Measurements, beginning with measuring status-quo, then with measuring subsequent improvements and failures.

Put enforcement teeth in - penalties for failure, and rewards for positive-results.

These measurements should target non-value-add activity; wasteful practices - such as ruling-out the most 'obscure' reasons for medical conditions, instead of ruling-in the statistically highest one first; unnecessary repetition (eg. multiple med tests); and have high-level goals to flesh out hidden costs & unwarranted greed. Follow the money, see where it leads, and measure it!

Place incentives into contracts with scaled percentages of greater rewards, for how fast wide-scale implementation of positive-measured improvements occur.

An example of how well these methods work has already been established, by our Interstate Highway System construction in the '50's & '60's.

Obama should take a lesson from this history, and combine it with modern computerized Business Intelligence measurement methods.

The measurements should start at the feeder industries of medical supply, and then up to drug companies, hospitals, insurance chains, etc.

TRUE costs should be determined at all levels with a goal of Cost+5% profit. Any "normal" company would be quite happy with 5% profit. The entire medical industry is puffed and bloated with their prevalent equivalents of $1000 hammers. This has to end, NOW!

It's time to "truth-table" the entire medical system, eliminate unwarranted greed, and restore the medical industry focus back to healing.
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by robinspp July 18, 2009 8:14 PM EDT
It is not fair our insurance money is wasted by the private run health insurance companies, spending on advertise against government run health insurance. The congress must take steps to stop them spending millions of our money for advertising against the government run health care proposal. They are taking money from the people and working against them. People please wake up.
Reply to this comment
by cydygitt1 July 19, 2009 11:20 AM EDT
Yep.....the for-profit health care industry is spending $1 Million per day to lobby against needed health care reform, and raising their rates on average Americans to pay for their GREED!
by W_A_H July 18, 2009 6:52 PM EDT
President Obama is in a canoe rowing upstream on this. He looks great but is he getting anywhere? Allow me to remind all of us that the urgency to pass the stimulus was for immediate injection of funds into the economy, shovel ready jobs they told us. Just the sound of the stimulus allowed Caterpillar to hire back some of those laid off workers, remember? It couldn't wait to be deciphered or even read. Now, now, now, they said so we said OK.

I was all for these programs by way of the descriptions given but the results of the stimulus have been by its very description an unequivocal failure. The plan changes on a daily basis. Now this same entity that was responsible for the stimulus, its description for cure that has done nothing but acerbate our problems is now saying trust us again? Only this time we, the American people have generations staked to the outcome of these programs. Had we been told the stimulus would kick in fourth quarter 2010, at least we would know where we are with the plan but that didn?t happen unfortunately. Outstanding plans, disastrous implementation. Nope, with the stimulus going south, Cap & Trade and Healthcare are going to meet a bitter end and will not happen IMO.
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by cydygitt1 July 19, 2009 11:18 AM EDT
Aaaah....another proponent of MORE OF THE SAME, the same failed policies and ideology that got us in this predicament, as we face a warming planet with all its huge problems and the huge health care crisis.

Sorry, but MORE OF THE SAME by moronic republiCONS is not an option!

We need to address both of these huge problems immediately, and none of the foxnewsus propagandus is helping!
by speakinup22 July 18, 2009 5:47 PM EDT
"Now is not the time to slow down," Mr. Obama said.


Uh, now correct me if I'm wrong here, but didn't President Obama insist the Stimulus Bill should be passed without reading it, as it was needed so desperatly ?

And now he doesn't want to examine Health care properly.

Git' ah rope.
Reply to this comment
by CitizenMikeM July 19, 2009 9:28 AM EDT
Yeah---you're wrong. Healthcare reform in all its parts has been studied to death for over 60 years, then quietly put back on the shelf. How many more decades should be spent on "examining healthcare properly"?
by cydygitt1 July 19, 2009 11:12 AM EDT
speakinup22 says in typical knee-jerk fashion:
"Uh, now correct me if I'm wrong here...."
----------------

You're always wrong and pushing all the failed CONServitard policies and ideology that gave us the bush/cheney depression!
by o1molo July 18, 2009 2:28 PM EDT
I think that Obama is the real deal, with all of the problems that he had to face when he came into office he has done nothing but work night and day to try and fix all of the problems we the American people have allowed/caused. We went out and bought Cars,Houses,Land, ETC. That we could not afford. The Banks sucked us in with stupid unrealistic loans that the average worker could not afford but we wanted more and bigger. We the people caused this to happen and now we have to pay for it and this is what Obama has said, and has pulled no punches in saying that it will take time and it is going to be tough bringing America back to where we were before all of the GREED. This which almost brought the "world"to it's knees.He is trying to regain the "Friendship" and "Respect"that we have lost through out the World.
YOU HAVE TO LOOK AT THE BIG PICTURE!!

BUT NOW OBAMA HAS BEEN IN OFFICE LESS THAN 7 MONTHS AND IT'S ALL HIS FAULT??? This blind stupidity is why we are where we are today. with the good old boy's pulling the strings nothing is going to change. America could be done if we don't open our eyes.But the good old boy GREED NETWORK may destroy any chance our Children or Grand Children have to a live half as good as what we have had.


GOD "BLESS THE UNITED STATES OF AMERICA"
Reply to this comment
by ChicagoJohn July 18, 2009 6:22 PM EDT
o1molo;
You are right that many people in the US have acted on their greed.
You are wrong to suggest that Obama isn't part of the problem.

Why do you think that Obama shoved a $700 Billion stimulus plan through before anyone could review it?
Why do you think that pork was found inside of that plan?
If the stimulus plan's timing was so important that it needed to get shoved through right away, why is it that the actual spending of that bill is still in the single percentage points? (Its like me telling you 'Quick, hand me that fire extinguisher!' And 12 hours later, you notice that I haven't used it yet.)
Why is it that our deficit will reach $2 Trillion dollars, if Obama isn't being greedy? Why didn't he just give $1 Trillion back to the people, and let us spend the money?

Yes, its Obama's fault. If you don't realize that its his spending that caused the $2 Trillion of deficit, do the research. If you can't understand how he let homeowners off of the hook for their dumb greed, read a business newspaper.

-And if you don't understand that his concept of health care reform means that your children will be paying for their own birth (through the deficit caused by 'universal' care), then you have blinders on.
by mary-miami July 18, 2009 11:42 AM EDT
President Obama is the best leader this nation has had in a long time. At least he is trying to get the nation out of this Depression. I say, he should go ahead with his plans,never mind what the republicans have to say, because the conservatives are the ones who caused this Depression.
Reply to this comment
by cydygitt1 July 19, 2009 10:59 AM EDT
President Obama completely understands that true health care reform is mandatory today, after a 130% increase over the past 10 years and huge profits for the for-profit insurance companies that have made it a cesspool of waste and abuse, and more and more Americans without health care and more denials on care every day!

It is well past time for physicians and patients to be making the important health care decisions instead of GREEDY for-profit insurance companies, giving us the 37th ranked health care in the world!
by cydygitt1 July 19, 2009 2:55 PM EDT
enriquieGonzales still spews silly rhetoric:
"37th health care ranking has been debunked.....other countries dont rate it the same way."
----------------------

Sorry, but that particular study wasn't done by individual countries, but the World Health Organization, and has hardly been debunked!

You would look more creditable with proof instead of silly rhetoric, but we know how moronic republiCONS just spew more propaganda!

The U.S. ranks at the bottom of the list in health care when you compare it to 19 industrialized countries, despite spending twice as much per person.

Health care in US ranks lowest among developed countries:

"The United States ranked last across a range of measures of health care in a comparison of 19 industrialised countries, despite spending more than twice as much per person on health as any other of the countries, says a report published last week."
www.bmj.com

U.S. on List of UNICEF's Worst Countries for Kids : NPRFeb 14, 2007 ... The United States fared worst of all 21 countries in health and ... "We've failed to invest in child health, in child education, in child care," Bradshaw says. ... worst countries in the industrialized world in which to be a child. ... happiness put the U.S. and Britain at the bottom of a list of 21 ...
www.npr.org/templates/story/story.php?storyId=7407245

Abstracts: Primary care and health: a cross-national comparison ...A study of health care in 10 industrialized nations looked at primary health ... of other countries, the United States ranked at the bottom of the list. ...
www.faqs.org/.../Health/Primary-care-and-health-a-cross-national-comparison-How-healthy-are-US-children.html
by jedi0849 July 18, 2009 2:58 AM EDT
The only way Health Care reform will pass is if there is no single payer provision involved, we have sucessfully blocked that with 42 senators now opposed to the measure.

Also the dem talking point saying that if you like your coverage, you can keep it is total BS with the single payer provision.

The bottom line, with single payer my health coverage will get worse, along with my care and my taxes will go up.

Whats the big hurry Messiah, are you worried the more time people have to actually read these bills the harder it will be to pass.
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