With the Washington — Affordable Care Act safe within the framework of the national health program, Democrats are eager to go beyond that.
They want to expand the coverage of working-age people and their families, add new benefits to Medicare for the elderly, and reduce the cost of prescription medications for patients and taxpayers.
However, expectations could fall later this year, as medical costs are high, there are concerns about deficits, and the Democratic Party is the only majority in parliament.
So far, the Democratic Party has enjoyed Thursday’s Supreme Court decision and is backing “Obamacare” for the first time in ten years. Recent objections to the law have been swiftly seen by many legal experts, but a 7-2 vote from a conservative court was unexpected.
Kathleen Sebelius, Secretary of Health and Welfare under President Barack Obama, said during the enactment and enforcement of the Health Act, “Democrats once again knew they had time and said that. I want to make the most of it. ” “I think people are excited and ready to go.”
There is no shortage of suggestions. Some, such as allowing Medicare to negotiate prescription drug prices, could save hundreds of billions of dollars, depending on how they are organized. However, expanding coverage and profits can cost as much or more.
Complex budgetary procedures that Democrats plan to use to pass President Joe Biden’s national agenda by a simple majority vote in the Senate can also limit the types of proposals that can be considered.
“The selection is on the way,” said John McDonough, a senior Democratic aide to the Senate in the debate over health law. “Not all of these ideas are feasible, but we don’t always know which ones are feasible in the first place.” McDonough is currently at Harvard TH Chan School of Public Health. I’m a professor.
Democratic ideas fall into two major headlines: expanding coverage and benefits through public programs such as Medicare and the Obama Act, and using government power to reduce prescription drug prices. Theoretically, prescription drug savings can pay for program expansion without increasing deficits or raising taxes.
“These are not single-digit billions of proposals,” said Mark Goldwayne, Senior Policy Director of the Responsible Federal Budget Committee. “We’re talking about $ 100 billion, over $ 200 billion, but in a different direction. The more you save, the more you can spend.” His group is to reduce the federal deficit. “We want them to follow the basic rule of paying for what they are willing to spend,” Goldwayne added.
Early on, a hierarchy of proposals began to emerge.
At the top of the list and most likely to be included is Biden’s plan to permanently extend the more generous HealthCare.gov insurance subsidy. They are currently being offered until the end of next year under his COVID-19 bailout bill. The price tag is estimated at $ 163 billion over 10 years.
Another health law issue is finding ways to cover more than 2 million low-income earners, primarily in southern states that have not expanded their Medicaid programs. The federal amendment is more than just investing more money because of the mysterious legal issues associated with Medicaid.
It is also uncertain that Medicare will approve the price of prescription drugs.
Speaker of the House Nancy Pelosi (D-Calif.) Passed a strong bill in the House almost two years ago. This issue is a priority not only for Biden but also for Democrats in Parliament. 2019 legislation could have saved the government more than $ 450 billion in 10 years through Medicare price negotiations, but Pelosi’s rigorous approach to the politically strong pharmaceutical industry is problematic for some Senate Democrats. Is considered to be.
The catch is that without significant savings from prescription medications, it will be difficult to provide other parts of the health care agenda. For example, adding dental, visual, and auditory benefits to Medicare can cost about $ 360 billion over a decade.
This image, provided by the US Centers for Medicare & Medicaid Service, shows the HealthCare.gov website. With the Affordable Care Act now safe within the framework of national health programs, Democrats are eager to go beyond that. They want to expand the coverage of working-age people and their families, add new benefits to Medicare for the elderly, and reduce the cost of prescription medications for patients and taxpayers. US Center for Medicare & Medicaid Services via AP
Dem ready to act after a health care victory
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