conference call this morning
Rep. Frank Pallone
Rep. John Hall
Kenneth Colon, Health care consumer from Montclair
Ron Pollack, Executive Director of the advocacy group Famiies USA
report “Too Great a Burden”
I know that there’s
HC cost skyrocketing, the most compelling factor in the call for health care reform
Their report focuses on those paying more than 10 percent and more than 25 % of their pre-tax family income on health care.
Nationally, in 09, we project 64.4 million under 65 years will be spen
an – – many have health insurance.
increase of 43% sp
high health care cost not just a prob of uninsured, but ppl with health insurance. are being hit hard in the wallet because of rising costs, spending more of their family income on health care.
Clear signal that health care costs must be reformed.
Chair Health Subcommittee of the House
Not only are 47 million w/o health insurance (citing that their resarch shows that the figure may be almost twice that when you consider pppl who have lost if for part of a year)
Preisdnet obama’s committment
Putting together a health care reform package to bring down costs
Obama said wants on desk by end of this year.
Votee before the augue=st recess
For ppl now getting to
Health Marketplace – where fed govt will tap into where got makes sure at affordable rates
public option, like medicare
Prices come down, large insurance pool, plus we would subsidize ppl through the health marketplace.
too many middle class families struggling to afford one of life’s necessities
cost of premiums, skyrocketing along with co=-pays and deductables, paying more and getting less, difficulties fo ins companies looking to deniy coverage first.
Check into hospiral or have procedure done, hospital checks and comes back with info that is covered, only to find out that – oops – it’s not covered because of some small print they hadn’t seen.
Howpicalts considerably underpaid by medicaid.
Also mentioned public option
Any corporation should be in this fight, because health care costs
COLON of MONTCLAIR
Falls into a lot of those categories. Has small bix and 3 children. Family decided purchas small plan, and piad extroa for the ability to go out of network, several hundred per month, to be able to choose any doc
July 07 diagnosed cancer, went to 2 cancer centers, on e in network and one not. The one not was specifically focused on his rare form. After thise high premiums would be subject to 30% up to 10K, then full coverage. They chose that, but got to 12,000 and asked. Got letter that his treatment was beyong “usual and customary” treatement. So, $80,000 bill.
Went thru appeals project, sent certified letters,a rter insu company said never got letters, then went to NJ Dept. Banking and Insurance, which has already knocked down half that cost. In some cases it was as simple as asking why did you deny after you had already approved. SAID – it was like they said, okay you’re right, like they were caught.
Bought policy through individual market, try to fold those in that marke t into the marketplace, economy of scale, but also for a conpany to offer insu thru the fed govt, they would have to submit to a review by the govt of their practices.
Pre-existing coverage. We would not allow that, they would have to take them whether have pre or not.
HOw shocking do you think hese stats are.
Can we assume more and more jersey residents who may not be pay
in 10% but are getting close.
PALL: Not shocking, we’ve been hearing for a long time this unsustainable.
16% gross national product, projected in 10 years could be 26%
Also plan to do things diff: Stress prevention, electronic recordkeeping, overuse of diagnostic tools, don’t need multiple CAT scans for example in diff hospitals. Cost is also affecting quality, deterirating.
Preminus v. paychecks (Poll) premiums rising 5x faster than wages. in addition those premiums are purchasing fewer services.
Can indiv states do anything to buffer this?
As work to hc reform, what are stumbling blocks
PALL: States have tried to address on their own, partic to cover all their residents like MaSS. Hard to bring down costs and cover everyone unless everyone is participating across the states. Reduce costs b/c of the econ of scale.
In NJ, Sen. Fitale who chairs, is welcoming fed involvement.
POLLA: limitations what states can do, really a
see more research undertaken about the comparable success of different therapies so we are not spending on what does not work.
How can taxpayers expect to pay for this
PALLON: Obama in budget suggeste way to pay
for cost, half of theat (or 1/4) would be from cost effiecn,000
eties. Reduce deductions on those making less than $250
POLLA: a numnber of the key health care providers reduce by 1.5% and WH says that will save $2trillion over next few years. Would be savings to fed, individuals.
Clear statement by these orgs that they’re prepared to meet the need. Shows that there are many ways
PALL: I don’t have any doubt we can pay for this with the cuts said yesterday, but a signif sould have to be from new source
Momentum toward taxing health care as benefit
state by state – in NY/NJ certainly high, but they are below average compared to other states.
PALL: I don’t think we’re going to tax indiv health care plans, was suggested by McCain and not supported by OBama. But if empl decided not going to cover employees, we would make them contrib to the hcmarketplace.
POLLA: health care for children, more generous than other states