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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: Lane3 who wrote (12645)	12/24/2009 1:04:47 PM
From: Lane3	Read Replies (1) \| Respond to of 42652

Building Single Payer Systems in the States with the Senate Bill user-pic By Nathan Newman - December 23, 2009, 11:11AM One reason I'm less negative on the Senate bill than some is that I know states will continue to build on its framework with improvements -- and most of those states need just majority vote in normally apportioned chambers, so public support for things like the public option actually have a chance to win. And as I mentioned in an earlier post, the bill's Sec. 1332 makes it possible for states to do even more -- combine all subsidies that would normally flow to individuals and businesses into their states into a more integrated alternative state system, even a single payer style approach that goes beyond merely a public option. While states couldn't implement such an approach until 2017 under the law, it still creates a path towards state-by-state movement towards quite radical changes in our health care system. Many states are already committed to moving towards such universal care systems, but the main thing they need is money-- which federal reform will help make available. While any truly single payer system or similar alternative will still face some ERISA law preemption issues in including all employers, there are a number of approaches involving employer taxes that can encourage their participation. The federal bill by itself will not be the big-bang singular change many wanted in our health care system, but it will be a platform for innovation -- and money -- to support changes as people keep organizing. tpmcafe.talkingpointsmemo.com