February 22, 2010 11:51 AM

No Public Option in Obama Health Care Plan

(CBS/AP)  Updated 11:45 a.m. ET

Making a last-ditch effort to save his health care overhaul, President Barack Obama on Monday put forward a nearly $1 trillion, 10-year compromise that would allow the government to deny or roll back egregious insurance premium increases that infuriated consumers.

Posted Monday morning on the White House Web site, the plan would provide coverage to more than 31 million Americans now uninsured without adding to the federal deficit. It comes just four days before Obama's one-of-a-kind, televised health care summit with Democrats and Republicans. (You can read the plan here)

Even with the latest changes, it's highly uncertain such an ambitious proposal can get through Congress. Republicans are virtually all opposed, and some Democrats who last year supported sweeping health care changes are having second thoughts in an election year. After a year in pursuit of what was once his top domestic priority, Obama may have to settle for a modest fallback.

Mark Knoller: Obama's Health Care Plan Unveiled
Special Report: Health Care Reform

Weeks ago, the president and congressional Democrats were on the verge of an historic step - a long-sought remake of the nation's health care system after a half-century of unsuccessful attempts by scores of politicians. Then Republican Scott Brown stunned Washington with an upset win in the Massachusetts Senate race, denying Democrats their 60-seat majority and reversing any political momentum.

Determined to avoid facing voters empty-handed, Obama offered a fresh proposal based on Democratic-passed bills.

The plan conspicuously omits a government insurance plan sought by liberals and viewed as a non-starter by conservatives and some congressional moderates. It includes Senate-passed restrictions on federal funding for abortion adamantly opposed by abortion foes as well as abortion rights supporters.

The new White House plan would give the federal government the power to regulate the health insurance industry much like a public utility. The Health and Human Services Department - in conjunction with state authorities - would be able to deny egregious premium increases, limit them or demand rebates for consumers.

House Republican Leader John Boehner slammed the president's proposal after its release.

"The president has crippled the credibility of this week's summit by proposing the same massive government takeover of health care based on a partisan bill the American people have already rejected," he said. "This new Democrats-only backroom deal doubles down on the same failed approach that will drive up premiums, destroy jobs, raise taxes, and slash Medicare benefits."

Obama, who deferred to Congress on the specifics for more than a year, has finally put forward a detailed plan of his own. By and large, it follows the bill passed by Senate Democrats on Christmas Eve, with changes intended to make it acceptable to their House counterparts.

It would require most Americans to carry health insurance coverage, with federal subsidies to help many afford the premiums. Insurance companies would be barred from denying coverage to people with medical problems or charging them more.

The plan dramatically scales back a Senate tax on high-cost health insurance plans objected to by House Democrats - and labor unions. Instead of raising $150 billion over 10 years, it would bring in just $30 billion, the administration said. A Medicare payroll tax increase on upper-income earners would help plug the revenue gap. For the first time, Medicare taxes would be assessed on investment income, not just wages.

Like the Senate bill, the Obama plan would create competitive insurance markets in each state for small businesses and people buying their own coverage. But it would strip out special Medicaid deals the Senate bill granted to certain states, gradually close the Medicare prescription coverage gap, make newly available coverage for working families more affordable. Those changes move in the direction of the House bill.

Estimated to cost about $1 trillion over 10 years, Obama's plan would be paid for by a mix of Medicare cuts, tax increases and new fees on health care industries.

Oversight of insurance companies has traditionally been a state responsibility. Obama's proposal for a new federal role calls for setting up a seven-member Health Insurance Rate Authority to monitor insurance industry practices and issue an annual report. States that beef up their consumer protection programs would be eligible for a share of $250 million in federal grants.

House Majority Whip James Clyburn, D-S.C., declined to say that House leaders have the votes now to pass the new plan, but said some of the concerns of House members were addressed by the changes Obama is proposing.

"So I do believe that there is more fertile soil today than when we first took this up," Clyburn said.

Senate Republican Minority Leader Mitch McConnell said Sunday he would participate in the health care summit, but insisted Mr. Obama and congressional Democrats would be wrong to push the bills they wrote in the House and Senate.

"The fundamental point I want to make is the arrogance of all of this. You know, they are saying: 'Ignore the wishes of the American people. We know more about this than you do. And we're going to jam it down your throats no matter what.' That is why the public is so angry at this Congress and this administration over this issue," McConnell said.

"They're (Republicans) definitely not going to go for that," former GOP strategist Ed Rollins told CBS' "The Early Show" Monday, calling the move "pure theater." (Read more from Rollins and former N.Y. Gov. Eliot Spitzer's appearance on "The Early Show.")

Democrats, who now hold 255 of the House's 435 seats, drew only one GOP ally when the House passed its health care bill, 220-215, last November. Since then, one Democrat who voted for the bill has resigned, one has died and a third plans to leave office Feb. 28.

© 2010 CBS Interactive Inc. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed. The Associated Press contributed to this report.
Add a Comment See all 42 Comments
by pegw July 23, 2010 9:01 AM EDT
You believed him then! Do you still believe him now? Public Option coming up. The sooner that you realize that he is out to destroy America & Americans with the Alinsky Guide "First you ruin them Economically" It is easy to take over then. Osama bin Laden said the same thing. I laughed back then because I never thought we would have someone in our White House that is set to destroy us. We have now & all you do is keep right on building him & his cronies up like they are worth the air they even breathe. Go to their You Tube Video:
http://www.youtube.com/watch?v=53EuoMd5t40 - After watching that tell me what you think?
Reply to this comment
by KeithDrippingSprings February 23, 2010 6:45 PM EST
I really can't understand why anyone would be against a public option. If you have insurance perhaps a public option would make your insurance company work a little harder and give you some service instead of looking for a way to deny your claims. If you don't have insurance then try to explain to me why you don't want an option to have it.

I have insurance that I can not afford. They have raised the deductible so high that it is as much as I paid for insurance ten years ago. Medical cost have only risen 300% in ten years why has my Insurance cost risen 600%. Every claim gets denied the first time. Our doctor has to do an incredible amount of paperwork just to get paid. So, if he is lucky he collects 90 days after rendering service. In a small two doctor office they have to have two insurance people in order to make and collect claims. Why is health care so expensive? Because of the insurance companies.

So, for those of you that don't want a public option fine, don't take advantage of it when it comes. Please let me have a public option so I can afford the insurance I need.
Reply to this comment
by tx_doughboy February 23, 2010 2:39 PM EST
by Mortar_29 February 23, 2010 11:15 AM EST
Cant speak for Republicans.

But for conservatives:
*No to abortions
*Since evolution hasnt been proven, then evolution should be taught with creationism
*Gun control? The Constitution says there shouldnt be gun control. Case closed.
*Want to do away with Medicare and Medicaid.
*Get rid of Federal government sponsored healthcare benefits...they are illegal!

Mortar ? You do not speak for conservatives or Republicans, but rather narrow minded, unenlightened fools.
? The abortion issue is and always can be a divisive issue, but it is also a moving target. We are less likely to deal with this issue in the future due to advances in family planning and birth control.
? Yes evolution is still theoretical, but there is little to no scientific foundation for creationism.
? The word gun is not defined in the Constitution. There are a wide variety of weapons that are labeled guns that have exponential lethal power. The Constitution is clear in its meaning that one should be able to arm one?s self and protect their family and property, but it does not allow you a nuke to do it.
? Do away with Medicare and Medicaid? And do what? Just let people die? Talk about a death panel!
? Federal sponsored healthcare is not illegal, because there is no law to prohibit it. You can claim that it?s not Constitutional , which is debatable but not illegal.
Reply to this comment
by chevyhotrod February 23, 2010 2:09 PM EST
The headline should read "The death panels begin under Obama and Obamacare has not even become law."

1 in 4 states cut back on mammograms
Findings renew concerns about controversial guidelines

http://www.msnbc.msn.com/id/35524647/ns/health-womens_health/
Reply to this comment
by ianlou February 23, 2010 9:42 AM EST
My prediction is:
In 20 years Republican Americans will be screaming NO to abortions,
NO to evolution taught in our schools, NO to gun control, NO to limiting Medicare and Medicaid and NO to limiting Government Sponsored Healthcare Benefits.
Reply to this comment
by Mortar_29 February 23, 2010 11:15 AM EST
Cant speak for Republicans.

But for conservatives:
*No to abortions
*Since evolution hasnt been proven, then evolution should be taught with creationism
*Gun control? The Constitution says there shouldnt be gun control. Case closed.
*Want to do away with Medicare and Medicaid.
*Get rid of Federal government sponsored healthcare benefits...they are illegal!
by starving1968-3 February 23, 2010 12:09 PM EST
If you're going to teach "creationism", which version are you going to go with?

The Romans or Greeks with their hundreds of different "gods"?

The Hindu version?

The Islamic version?

Buddha's version?
by Stevenapoli7 February 23, 2010 5:00 AM EST
So we will rely on our intelligent, benevolent government to decide which company can increase their rates? Which American deserves a rebate? The same Obama that gave billions to CEOs and is now trying to tax it back?
Reply to this comment
by Mortar_29 February 23, 2010 11:16 AM EST
Hugo Chavez is learnign a few things from Obama!
by chevyhotrod February 23, 2010 2:16 PM EST
Mort,
Don't you really mean that Obama is learning a few things from Hugo Chavez. Hugo has been at this for over a decade, Obama has just started.
by cleantheDCcesspool February 22, 2010 11:19 PM EST
Obama has been repackaging this piece of dung by different names since he was sworn in and still his majority party would not pass it. Now he is trying one more time to shove it down America's throat. Please, people, stop drinking the kool-aid. This is simply an attempt to control 16% MORE of our economy, on top of Obams's Government takeover of GM, the banks, and the attempted takeover of public utilities via cap and trade. Oh, and his alliance with unions like SEIU, UAW, pretty much completes the picture; and Van Jones is coming back soon to a theater near you.
Reply to this comment
by CitizenMikeM February 23, 2010 8:41 AM EST
I don't get that message at all. And quit telling me to "stop drinking the kool-aid" You anti-everythings have worn that phrase out. Only a fool would believe the the government wants to take over everything. Fear mongering is all you people want to understand.
by velma179 February 23, 2010 10:45 AM EST
Uh cleantheD....

The legislation HAS PASSED in the House and in the Senate.

It was stalled in negotiations to merge the two bills. This only shows that Democrats are [more like Americans in general] a party that includes differing viewpoints.
We want a Congress that represents the conservative, moderate and liberal views in our divergent American population. The fact is, only the Democrats do this.
The Republican Congressional Reps seem only to represent: "get me re-elected by seeking the failure of the other party".

By the way -- none of the things you mention are government takeovers. Your tired, hyperbolic rhetoric is losing ground daily.

Wait and see the Republicans fail under the weight of their own hypocrisy and lies. Coming to your TV -- Thursday!
See all 4 Replies
by ky7474 February 22, 2010 8:05 PM EST
Mandatory coverage and no public option [competition]. Made unknown deals with big pharma. which produce many drugs that are killing people at an alarming rate. Well maybe we don't need to look at education, the enviroment, or the economy. This government is sold out and I mean both parties. This is totally unacceptable!
Reply to this comment
by wjksea February 22, 2010 8:52 PM EST
Yep, Grover Nordquist speaks of shrinking the government of the people to a size so small it can be drowned in a bathtub. Bush spoke of privatization. A game of corporate monopoly has been played out. The founders did not have a dream that one day the people would come under the siege of capital used as a terrorist weapon of mass destruction.
by wjksea February 22, 2010 8:02 PM EST
Not only does Bob Dole have socialized health insurance, he has socialized health care at Walter Reed hospital. If socialized medicine is so awful, why do all of these republican politicians use it?

Double standards, unequal justice.
Reply to this comment
by retm-w February 22, 2010 10:32 PM EST
wjksea

Why does any politician use it? Do you consider employer paid health insurance socialized medicine or a benefit? Their plan is no differn't then some employer paid plans. They are the same as any Government employee.
by wjksea February 22, 2010 7:56 PM EST
jsachse February 22, 2010 5:12 PM EST
Not to mention investment income. I guess Obama assumes only "rich" people have investments...whatever his current definition of "rich" is. I know many people that make less than $250,000 a year with investment income...so much for no new taxes on those folks.

--------------
If you are referring to dividend and interests income, what a deal for those who inherited a huge trust. While these people pay up to 15% max in taxes, working fools pay up to 35%
Reply to this comment
by Stevenapoli7 February 23, 2010 4:58 AM EST
Lesson learned: Don't be a working fool. Everyone is allowed to invest. I know young guys in their early 20s making small potatos in the Navy building their investments. They are smart. One day they will be rich. I also know a 55 year old that makes good money but hasn't invested a dime yet.
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