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基思·亨尼西(Hennessey)的博客

美国前国家经济委员会主任、乔治·布什的首席经济顾问Keith Hennessey

 
 
 

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我的医疗改革计划  

2009-07-22 10:04:05|  分类: 默认分类 |  标签: |举报 |字号 订阅

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[点击查看Keith Hennessey的英文博客]  [Keith Hennessey的中文博客] 

 

我将会在今天下午东部时间下午两点的CNBC频道的《街道标识》栏目中露面。我将和政府官员霍华德迪恩以及主持人恩瑞伯奈特就卫生保健的改革问题进行讨论。

 

更新:我们有视频

 

周三总统先生在玫瑰花园就卫生保健的改革问题发表了讲话。他说:我明白这是一个我们不能再拖延的问题。我们不能再把易拉罐踢倒在路上。拖延改革仅仅只能维护既存现状的地位---那些反对我们的努力应该只着重在他们正在维护的方面的人。在过去的十年间,健康保险的金额上涨的速度是已经薪金上涨速度的三倍。免赔额和现款支付的花费也在飞速的增长。甚至在我们等待着有所行动的每一天,数以千计的美国人失去了他们的保险,他们中的很多只能把在急诊室里的护士看做他们唯一救生索.所以不要再犯错误,既存现状在卫生保健中的地位不是美国应该考虑的问题。它正在威胁着家庭,商业和政府财政的稳定。它是无法维持的而且必须有所改变。

 

.” 我同意所有的这些但除了那些反对我们的努力只应该着重在他们正在维护的方面的人”.

 

我强烈的反对众议员委员法案和肯尼迪--杜德帮助法案。我不会支持寄存现状. 我需要和现在国会正在提议的改革不同且更加有侵略性的改革。而把那些反对目前的立法的人等同于反对所有卫生保健计划或寄存现状的支持者是不公平的。因此,我需要阐明我所支持的。我提议国会修改接下来的计划,放弃他们现在正在考虑的法案。一个完整的对于一个卫生保健的法案的描述可能会有几千字。今天我只是提供我所提议的基本描述。这个描述虽然不如我认为的精致和仔细,但是这些都是核心的内容。我想在我们今天的讨论展开之前对它做一下说明。

 

这应该有一个对所有候选可能性的辩论,而不是“你是支持卫生保健的改革还是既存现状?”

 


 

基思.亨尼西的医疗改革计划(v1


应该做的:

 

1.      替代对于现在雇主只提供给个人一份7500美金的健康保险或15000美金(家庭)flat deduction对于购买不予课税的健康保险

2.      允许在美国的任何地方购买健康保险

3.      使健康保险轻便和实用

4.      扩大健康储蓄帐户

5.      大力度的改革医疗保障制度

6.      大力度的减缓医疗保障和医疗帮助的花费增长,使用储蓄在长期的赤字减少中起作用。

 

不应该做的:

 

1.      增加税收

2.      创建一个新的政府健康权利

3.      强制购买健康保险

4.      让政府设立私人的保险金

5.      建立一个政府操作的健康计划

6.      让政府管理利益

7.      扩展医疗救助

 

结果:

  • 更低的保险金和更高的薪酬待遇
  • 让健康保险更加平民化减少“工作锁“
  • 500万无保险的人群的增长(净)
  • 一亿人会支付更低的税收
  • 万有高额健康保险的人支付更高的税收
  • 总体上没有净税增长
  • 减少短期和长期的赤字
  • 对小型商业和自营经济一视同仁
  • 刺激和刺激个人决定“弯曲费用曲线”
  • 更多的个别控制和在医疗决定上的责任

 

(翻译纠错。读者发现任何翻译错误请发邮件给我们,谢谢:caijingblog#126.com 将#改为@)


英文原文(地址:http://keithhennessey.com/2009/07/17/hennessey-health-plan/):

Hennessey’s health care reform plan

I will be on CNBC’s Street Signs this afternoon at 2 PM EDT.  Governor Howard Dean and I will be discussing health care reform with host Erin Burnett.

Update:  We’ve got video.

Wednesday the President spoke in the Rose Garden about health care reform.  He said:

And [nurses] understand that this is a problem that we can no longer defer.  We can’t kick the can down the road any longer.  Deferring reform is nothing more than defending the status quo — and those who would oppose our efforts should take a hard look at just what it is that they’re defending.  Over the last decade, health insurance premiums have risen three times faster than wages.  Deductibles and out-of-pocket costs are skyrocketing.  And every single day we wait to act, thousands of Americans lose their insurance, some turning to nurses in emergency rooms as their only recourse.

So make no mistake, the status quo on health care is not an option for the United States of America.  It’s threatening the financial stability of families, of businesses, and of government.  It’s unsustainable, and it has to change.

I agree with all of this, except “those who oppose our efforts should take a hard look at just what it is that they’re defending.”

I strongly oppose the House tri-committee bill and the Kennedy-Dodd HELP committee bill.  I do not support the status quo.  I want different and even more aggressive reform than is being proposed in Congress.  It is unfair to characterize those who oppose the current legislation as opposing all health care reform, or as defenders of the status quo.

I therefore want to be explicit about what I support.  I propose Congress adopt the following plan instead of the legislation they are now considering.

A full description of a health care reform bill would probably take a few thousand words.  Today I instead offer just the basic description of what I propose.  This is not as polished or detailed as I would like, but it’s the core, and I would like to get it out there before our CNBC discussion today.  I am going to label this v1.  I may tweak it a bit over time, but the core will not change.  If you follow the health care debate closely, many parts of this will look familiar.  I may flesh out details in the future.

This should be a debate among alternatives, not “Are you for health care reform or the status quo?”


Keith Hennessey’s health care reform plan (v1)


Do:

  1. Replace the tax exclusion for employer provided health insurance with a $7500 (single) / $15K (family) flat deduction for buying health insurance.
  2. Allow the purchase of health insurance sold anywhere in the U.S.
  3. Make health insurance portable
  4. Expand Health Savings Accounts
  5. Aggressively reform medical liability
  6. Aggressively slow Medicare and Medicaid spending growth, and use the savings for long-term deficit reduction

Don’t:

  1. Raise taxes
  2. Create a new government health entitlement
  3. Mandate the purchase of health insurance
  4. Have government set private premiums
  5. Create a government-run health plan option
  6. Have the government mandate benefits
  7. Expand Medicaid

Results:

  • Lower premiums, higher wages
  • Portable health insurance reduces “job lock”
  • +5 million insured (net)
  • 100 million people will pay lower taxes
  • 30m with expensive health plans pay higher taxes
  • No net tax increase overall
  • Reduces short-term and long-term deficit
  • Fair to small business employees & self-employed
  • Incentives and individual decisions “bend the cost curve down”
  • More individual control & responsibility for medical decisions

 [点击查看Keith Hennessey的英文博客]  [Keith Hennessey的中文博客] 

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