June 17, 2009 10:06 AM

How Will We Pay For The Health Care Plan?

By
Wyatt Andrews
(CBS)  "How are we going to pay for that, Mr. President?" Sen. John McCain has asked.

That one question - how the nation really pays for health reform - just got a shocking wake up call. The Congressional Budget Office, or CBO, said Sen. Ted Kennedy's health care proposal could cost $1 trillion over 10 years and 36 million Americans would still be uninsured.

"It's a preliminary set of numbers," said Sen. Chris Dodd.

Democrats called the numbers inconclusive. Even the CBO called its own report incomplete. But the sheer magnitude of what Congress is considering is undeniable, reports CBS News correspondent Wyatt Andrews.

"The news yesterday from the CBO is a turning point in the health-care debate," said Rep. Eric Cantor.

So what will health reform cost? The president has also estimated a $1 trillion - and he claims he can achieve reform without raising the deficit. The reality is - this means raising taxes. And where the president believes he can raise $267 billion, by limiting the tax deductions of high income wage earners -the reality is most of Congress opposes the idea.


"And if they're unwilling to do that, they're going to have to pick an option that has other political difficulties," said Jonathan Oberlander, an associate professor of Social Medicine at University of North Carolina. "So the question is which kind of poison do they want to drink."

The president has also outlined more than $600 billion worth of spending cuts, some of which cut Medicare payments to hospitals. Last month, the hospitals claimed at the White House they'd support billions in savings - but the reality, they now say, is they never meant cuts -that "payment cuts are not reform."

And so what's coming very soon is a dogfight over that trillion dollars. And every interest group that once promised compromise to achieve health care reform will be arguing someone else should go first.

Copyright 2009 CBS. All rights reserved.
Add a Comment See all 35 Comments
by TerryNeese June 19, 2009 10:52 AM EDT
This plan is too expensive and not effective. Congress can lower the cost of healthcare and make it more attainable without costing the tax payers billions or trillions of dollars. Small businesses are the backbone of our economy and one of the main reasons why people in this nation go uninsured. If we made it easier for small businesses to get health care, we would eliminate some of the problems of the uninsured. We need to allow small businesses to reach across state lines to foster competition between insurers, allow them to band together to spread risk and increase bargaining power, and allow them to purchase individually owned plans, like health savings accounts, for their employees using pretax dollars. These things will NOT cost the government a trillion dollars, but will still be extremely effective in solving the problem of skyrocketing prices of health care in the United States. At the NCPA, we are looking for alternatives to government run programs! www.familyissues.ncpa.org

Congress and the Obama Administration are pushing for health care reform that will move the US health care system closer to that of Canada or the UK. You can help stop a government takeover of health care from happening. Send a message to the White House and Congress by signing the ?Free Our Health Care Now? petition. Go to www.freeourhealthcarenow.com and sign the petition today!
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by nearl451 June 18, 2009 10:39 PM EDT
I heard this really great idea from Eddie Cantor today: Privatize insurance!!! This is the Republican answer.....continue down the path of what was wrong in the first place. Oh yeah and magically reduce costs.

IT IS ALREADY LARGELY PRIVATE MORON!! It would be laughable if the proposal weren't so pitiful.

Party of "NO" strikes again.
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by babooph June 18, 2009 4:05 AM EDT
Not having the two lost wars would have already paid it,stopping them is a great start-Horses ...... Cheney saying" Reagan proved deficits do not matter" though will not cut it-getting rid of the massive insurance exec salaries & rip offs is another tactic.More will have to be done though.
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by Ho_Luong_Tran June 17, 2009 6:43 PM EDT
When we talk about controlling healthcare costs, we have to remember that many reforms will ultimately save the government money.

Consider the IOM estimate of a $69 billion cost to the U.S. for patients? inability to communicate with their doctors or understand medical information. By spending money on language services to help patients understand their doctors, the U.S. Government will not only save us money in the long run, but will also take a step forward in terms of providing better care and preventing medical errors.

Dr. Ho Luong Tran
The Asian & Pacific Islander American Health Forum (www.apiahf.org)
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by dalelama1 June 17, 2009 6:20 PM EDT
The libs on this site are real idiots---comparing paying federal taxes for a socialist medical system to paying state and local taxes for firemen, cops, and teachers etc...is comparing apples to oranges because if you don't like state and local taxes you can move to another state or locality...and you don't have to pay for cops, teachers, etc...twice which will be true under Nobama's plan if you decide to keep your private plan. Their dirty little secret is 36% of all USA income earners don't pay a nickel in federal taxes so they don't care how much it costs because their voters don't help carry the load. As the great Margaret Thatcher once said, "The problem with Socialism is you eventually run out of the other guy's money."
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by mtoc June 17, 2009 6:04 PM EDT
you will pay for health care like rest of G8 with taxes based on income, and supplemental for items not covered. and every one must participate. if its good enough for the Legilators and senior civil servants(who get 'socialized' care) then its good for everybody!
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by c_welborn June 17, 2009 5:27 PM EDT
Would most Americans sacrifice 15-20% of their disposable income (pro forma estimate of all-in tax increases to pay for the program) in order to ensure that all Americans have health insurance. That is doubtful in my opinion, especially when you consider that the reason for the lack of coverage in most cases is due to serial unemployment, negligence or being in the country with out appropriate documentation. There are always exceptions to these reasons, but this would constitute the majority of those without insurance.
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by eyeswideoopen June 17, 2009 5:27 PM EDT
To understand how they expect to pay for it, you have to analyze the system itself. I can tell that you haven't really done that because if you had, you would know that this proposal is not really Obama's plan at all. It's just the next phase in the project for nationalized medical records and INTEGRATED genetics research with the practice of medicine that began in 1990.

Also, you assume that they actually intend to provide quality medical care for all who are covered. That's not the case. Remember, we have a profit-making health insurance and health care system. They are not touching the profit side of the business. Logically now... how would they reduce costs? It's a no brainer and it's provable when you do an analysis of the system they've been working on for nearly two decades... phase by phase.
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by prof_s June 17, 2009 3:08 PM EDT
I'm an American living living and working in Germany where they already have an impressive national health care system. It works because the people believe in having a society which cares for everyone, not just the well to do. The question facing America isn't if or how a national health care system work can be established, but if America is willing to make the sacrifices necessary to make it work. Personally, I don't think it can work in a country where it's every man, woman and child (let's not forget the neglected children) for themselves. "If America is the richest country in the world, why is it so many of us can't afford to live here?" Kevin Costner, Swing Vote.
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by venkata4--2008 June 17, 2009 3:05 PM EDT
Well Senator Kennedy's plan costs $ 1 trillion over next 10 years. Un just, totally unwarranted Iraq war is cost us more than that per year. And that war funded totally by borrowing. Thanks to Bush administration for $135 billions to richest.

Now for funding for this health insurance roll back tax cuts to richest and also introduce national sales tax of 2% which everybody has to pay. I know it is a very bitter pill to swallow but I am against republican way of barrow and spend.
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