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CBSNews /

AP/ March 24, 2010, 8:30 AM

Health Care Bill Myths Likely to Linger

The tumultuous health care debate that brought you death panels and socialism has spun off a catalog of popular myths that will keep growing as President Barack Obama and all sides battle toward the midterm elections this fall.

At a White House signing ceremony Tuesday, Mr. Obama ventured the hope that Americans on all sides will judge the legislation for what it actually says and does. "When I sign this bill," he declared, "all of the overheated rhetoric over reform will finally confront the reality of reform."

Wishful thinking, Mr. President.

Facts are stubborn, the saying goes. But myths about the legislation are likely to persist as well. And a lot of people don't agree on which is which.

"People have taken away from the debate a number of beliefs about the bill that are very difficult to shake based on objective reports," said Robert Blendon, a Harvard public health professor who follows opinion trends. "There is enough skepticism out there that questions about how it's going to help the country are likely to continue."

Here's a look at some of the myths and realities, from both sides of the issue:

Mr. Obama has put the nation on a slippery slope toward socialism.

Hello? Government's role in health care has been steadily growing since Medicare and Medicaid were established 45 years ago. Even if Republicans were to take control of Washington and repeal this bill, government would still be on track to pick up more than half the nation's health care tab by 2012, according to a report last month from Medicare.

"The Republican myth is that the government is for the first time going to take over the health care sector," said economist Joe Antos of the business-oriented American Enterprise Institute. "The takeover was probably largely accomplished in 1965 with the creation of Medicare and Medicaid. Since the early days, Medicare has called the shots on a lot of policy issues that private insurance fell in line with."

Still, the new law will undoubtedly expand the government's influence. Sen. Judd Gregg, R-N.H., warned Tuesday it will lead to the "quasi-nationalization of the health industry."

Underline "quasi." Democrats dropped their idea of a government insurance plan to compete with private carriers. So any "socialization" will be channeled through Wellpoint, UnitedHealthcare and other private insurance giants.

Poll: Small Bump in Health Care Reform Believers

Health care overhaul is going to lower your health insurance premiums.

Mr. Obama says that once new competitive insurance markets open for business, in 2014, individuals buying coverage comparable to what they have today will pay 14-20 percent less. Family coverage costs about $13,400 a year, so that could be real money.

But the president's assurance is based on a selective reading of a Congressional Budget Office report that found most individuals would probably buy better, more expensive coverage than what's available today.

And Mr. Obama skips over an important caveat: The budget office didn't say premiums would be lower than currently. It said premiums for some people would be lower than they would have been without the bill. Premiums for others would be higher.

With the U.S. population getting older, and medical science pushing the technological envelope, there's very little reason to think premiums will go down. The best Mr. Obama can hope for is to slow the pace of increases.

Special Report: Health Care Reform

You will be forced to pay for other people's abortions.

Only if you join a health insurance plan that covers abortion. In that case, the costs of paying for abortions would be spread over all the enrollees in the plan - no differently from how other medical procedures are handled, except a policyholder would have to write a separate check for it.

Timothy Jost, a law professor at Washington and Lee University, said people who don't want to pay for abortion could simply pick a plan that doesn't offer it.

There would definitely be a demand for such plans, and not just from people with moral objections. Single men and older women would have no reason to pay an extra premium for abortion coverage.

The Democratic bill will lead to government health care rationing.

The legislation sets up a research center to compare the effectiveness of medical treatments, and critics fear that bureaucrats will start issuing justifications for denying patients access to the latest medical technology.

Republicans as well as Democrats had previously called for a major investment in such research to help make sense of which kinds of treatments, medications and technologies are worth the cost.

The legislation specifies that the research findings cannot be used to impose mandates, guidelines or recommendations for payment, coverage, or treatment - or used to deny coverage.

Acceptance of the research is likely to be slow in coming, and the medical community - not government and insurance companies - will probably take the lead in vetting it.

The American people have already rejected Obamacare.

Although some polls show a majority oppose the bill, most surveys find the public about evenly divided. Blendon, the public opinion expert, believes it's premature to say that the public has rejected it. Curiously, many individual components - doing away with insurance denials for pre-existing conditions, tax credits to help pay premiums, insurance purchasing pools - are widely popular.

Mr. Obama reads those findings to mean that Democrats have a chance to turn around public opinion, and he's embarking on a campaign to sell the bill.

The legislation will save Medicare from bankruptcy.

Democrats say the bill - even as it cuts Medicare to pay for expanded coverage for working families - will add at least nine years of solvency to the program's giant hospital insurance trust fund, now projected to be exhausted in 2017.

Technically that's true - but only on paper.

Savings from the Medicare cuts will be invested in government IOUs, like any other trust fund surplus. The special Treasury securities count as an asset on Medicare's books - making the program's precarious financial situation seem more reassuring. But the government will spend the actual money. And when time comes for Medicare to redeem the IOUs, lawmakers will have to scramble to come up with the cash.

The key point is that the Medicare savings will be received by the government only once, the Congressional Budget Office said, "so they cannot be set aside to pay for future Medicare spending and, at the same time, pay for current spending ... on other programs."
AP
58 Comments Add a Comment
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mollydtt says:
I've lived abroad and I've lived in the U S, and the U S is the most expensive and difficult place to get healthcare. I have insurance, but honestly, we don't get that much for our dollars.
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luadda22 says:
The article stated "Curiously, many individual components - doing away with insurance denials for pre-existing conditions, tax credits to help pay premiums, insurance purchasing pools - are widely popular". Of course if you give anyone money to buy something with they will take it, even me. The only thing is I know I'm a ***** and will admit it. I may be easy but I'm Not cheap. The way I look at it, it's my money that I paid in taxes so they're just giving me my own money back. Rather me than some other low-life.
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wfw3536 says:
What about the fact that the bill does not cover all children right away like the democrats and president has been saying. According to news reports this afternoon the language in the bill does not cover all children. And the democrats said they had looked at this stuff and had it right. Just another example of people who do not read what they are voting on because most of them are getting paid off.
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rexrox2 says:
I'm amazed at how little the media knows about the business of health insurance or business in general. Their ignorance is only matched by their stupidity regarding our CONSTITUTION.


Why are millions of people NOW generally afraid that the Fed. Gov't will run whatever business they want, put whatever company out of business they want... ad infinitum.

The Democrats and their MOUTHPIECES are saying they have the authority to FORCE people to buy a product,or they'll be fined by the gov't, through the COMMERCE CLAUSE OF THE CONSTITUTION. If this sticks, there's nothing the Fed can't do to individual citizens. Stop.......get down off your PARTISAN HORSE and think. Could the Fed make you insulate your home with their chosen company, not eat certain foods, not open a certain business, only use certain types of energy that are tax ADVANTAGED and other forms of energy tax advantaged. Can you imagine?? Someone in the HOUSE OF REPS. says, "well people have to buy insurance EVEN IF THEY DON'T WANT TO, so we can pay for medical care". NO, NO , NO,...you stop right there and look for other ways to solve the problem. You don't make people buy something they don't want. WE DON'T DO THAT IN THIS COUNTRY. We come up with other answers, maybe small solutions a little at a time,,BUT NEVER HAD CITIZENS HAD TO BUY SOMETHING THEY DON'T WANT. THAT'S NOT AN ANSWER. Europe is crippled economically, forced to join a giant conglomerate of countries to stay competitive. It's not working. They're dragging each other down the rat hole. We are in better shape because we don't have all the bureaucracy weighing US down yet. We will always be better off, including better healthcare insurance and a better medical industry with more innovation than any country in the world. WE must not put this enormous MONKEY on the backs of citizens, businesses and entrepenuers. It's not a question of being KIND OR EMPATHETIC, it's a question of being smart. This is the beginning of the end of the GOOSE THAT LAYED THE GOLDEN EGG/ it's about marxist's power and payback. It will create a class system, with no way out for our citizens. My kids are ready to compete and achieve, I'm not sure why anymore.
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Samuel-HiLL replies:
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Paste,paste,paste, you've obviously never had an original thought in your entire life.
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griz326 says:
NO ONE KNOWS or can even reasonably speculate what this program will do. What we are reading are WAGs; and one WAG is as good as the next. (WAG=Wild A$$ Guess)

What we do factually know is:

* Government ain't trustworthy
* Government screws up nearly everything it touches
* The President, Senators, Congressmen, Judges and government workers are exempt from this program

Now tell me why you'd give government so much power over the health care system?

...and I absolutely believe health care needs to be reformed!
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Celtica11 says:
Why do you refer to President Obama as "Mr." Obama? Not once in this article do you refer to him as "President" Obama. CBS News is so clearly biased against the President and against health care reform. I've lost a lot of respect for CBS news over the last year.
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Samuel-HiLL replies:
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Nice one bumpedork1 You think that one up yourself?
IMFHO replies:
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What have you been smoking, and where did you buy it?
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jem0309 says:
way to go dems and obama! this is why we voted for you! bringing healthcare to 32 million americans and putting an end to the despicable practices of insurance companies is a major accomplishment. the richest country in the world should not have so many citizens unable to afford basic medical care. so what if the top 2% of income earners pay a little more! their incomes have been growing far more rapidly than those of the rest of americans, while their tax rates have been falling since the 1970s. it's about time for this bill! insurance companies are ripping off the american public, and lobbied hard against this bill. medicare and medicaid already account for half of healthcare spending, so without a public option, this is hardly a govt 'takeover'. a single payer system would eliminate the huge sums of money that go to lining the pockets of the insurance companies, but this bill did not even include a public option! however, it does make healthcare affordable for tens of millions of americans.
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Samuel-HiLL replies:
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Nice common sense comment. I'm sure someone will along soon to shoot it fool of holes.
IGold17530 replies:
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It's obvious that the author of this comment is completely ignorant of how politics works. On Sunday evening, the champagne corks were popping in the insurance co offices. This bill is the greatest bonanza the industry ever had. Imagine, 30 million new customers, forced by the government to buy their product and most of the premiums payed by the government! Whoopie! The bonuses next year will be astronomical. Of course, they had to endure the charade of being the bad guys for Pres. Obama to denounce, but they knew it was all part of the agreement. Obama told them you pretend to oppose the bill, and we will funnel 30 million new customers your way. Grow up, jem, and realize when you are being snookered
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Frankftw says:
I pay about $600 a year in property taxes to my local charity hospital district to pay for health care for the uninsured. What's wrong with requiring these people to buy their own insurance so that I don't have to pay for their care when they go to the taxpayer supported public hospitals? In fact, that sounds like a talking point for the Reagan Republicans of the 1980s. Which shows how the current Republicans have just fallen off the looney edge.
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luadda22 replies:
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And you really believe that once these people "buy their own insurance" (although it won't be with their own money) that your property taxes will be reduced by $600??? Me thinks YOU have just fallen off the looney edge.
retiredgustav replies:
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If we had a national health plan first, the area Frankftw lives in would never have had to create this hospital district. I live in a part of Texas where the county is thinking about creating a Special hospital district because of the uninsured (the alterative is 2 charity hospitals will shut down. With the passage of this bill it probably won't be necessary.
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ge556 says:
The reason a lot of people don't want this bill is that the Republicans and Tea Party have been scaring people with lots of lies. Government takeover of the health care system, bureaucrats telling you what plan you have to have, death panels, huge deficit spending, can't keep your own doctor, taxpayers paying for health care for illegal immigrants, go to jail if you don't pay -- all lies.

Lately, the press has been doing a little better job of telling what this bill really is.
But they need to stop calling it an overhaul of the entire national health care system. It's not. It doesn't do much to hospitals and clinics, except help make sure they get paid for their patients.
It's a health insurance enrollment bill.
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luadda22 replies:
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I don't need the Republicans and the Tea Party to scare me. Obama is doing that just fine by himself.
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MPHgrad says:
http://content.healthaffairs.org/cgi/reprint/13/4/22.pdf
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