Democratic Attempts To Reform Health Care Are Pretty Much Like Republican’s Plans From The Past

Ken AshfordHealth CareLeave a Comment

This chart, shameless lifted from Kaisir Health News, shows rather dramatically how conservativism of the Republicans have taken hold over the past 15 years.

Seventeen years ago, Republican Senator John Chaffee (R-RI), a moderate (now deceased), proposed a health care bill.  In many ways, it is very similar to the Senate Bill passed last December (which in itself is very similar to the plan unveiled by Obama last week).

The final column shows the current Republican plan, a stark contrast to Chafee's bill of 17 years ago.

Ezra Klein puts the chart in context:

Boehner's bill, by contrast, is far, far more conservative (and useless) than what moderate Republicans developed in 1993. Conversely, the Senate [Democratic] bill doesn't look anything like the Clinton plan itself, much less like the more liberal efforts to expand Medicare to all Americans.

We've got a situation in which Democrats are essentially pushing moderate Republican ideas while Republicans push extremely conservative ideas, but because neither the press nor the voters know very much about health-care policy, the fact that Republicans refuse to admit that Democrats have massively compromised their vision is enough to convince people that Democrats aren't compromising.

And Steve Benen:

For all the hysterical whining from today's Republican Party and its right-wing allies, the Democratic plan couldn't be any less radical. Not only is it practically identical to what moderate Republicans wanted nearly 20 years ago, but its basic structure is the same as the plan Howard Baker, Bob Dole, and Tom Daschle were touting last year.

The fact that Americans have been led to believe the Democratic plan is an example of wild-eyed liberalism — a notion largely embraced by much of the major media — speaks poorly of our discourse and capacity to have a meaningful policy debate. It is, however, a reminder of just how effective the right-wing noise machine can be.

Major Provisions Senate Bill 2009  Sen. Chafee (R) Bill 1993  Rep. Boehner (R) Bill 2009 
Require Individuals To Purchase Health Insurance
(Includes Religious and/or Hardship Exemption)
 Yes

 Yes

 No (individuals without
coverage would be taxed)

Requires Employers To Offer Health Insurance To Employees

 Yes (above 50 employees, must help pay for insurance costs to workers receiving tax credits
for insurance)

 Yes (but no requirement to contribute to premium cost)

 No

Standard Benefits Package 

 Yes

 Yes

 No

Bans Denying Medical Coverage For Pre-existing Conditions 

 Yes

 Yes

 No (establishes high risk pools)

Establish State-based Exchanges/Purchasing Groups

 Yes

 Yes

 No

Offers Subsidies For Low-Income People To Buy Insurance 

 Yes

 Yes

 No

Long Term Care Insurance

 Yes (sets up a voluntary insurance plan)

 Yes (sets standards for insurance)

 No

Makes Efforts To Create More Efficient Health Care System 

 Yes

 Yes

 Yes

Medicaid Expansion 

 Yes

 No

 No

Reduces Growth In Medicare Spending

 Yes

 Yes

 No

Medical Malpractice Reform 

 No

 Yes

 Yes

Controls High Cost Health Plans

 Yes (taxes on plans over $8,500 for single coverage to $23,000 for family plan)

 Yes (caps tax exemption for employer-sponsored plans) 

 No

Prohibits Insurance Company From Cancelling Coverage 

 Yes

 Yes

 Yes

Prohibits Insurers From Setting Lifetime Spending Caps

 Yes

 No

 Yes

Equalize Tax Treatment For Insurance Of Self-Employed 

 No

 Yes

 No

Extends Coverage To Dependents

 Yes (up to age 26)

 No

 Yes (up to age 25)

Cost 

 $871 billion over 10 years

 No CBO estimate

 $8 billion over 10 years

Impact On Deficit

 Reduces by $132 billion over 10 years

 No CBO estimate

 Reduces by $68 billion over 10 years

Percentage Of Americans Covered 

 94% by 2019

 92-94% by 2005

 82% by 2019