Please see below for a fact check on remarks made just now by Senator George LeMieux on the Senate floor, incorrectly stating that the cost of the Senate’s health insurance reform bill is $2.5 trillion and that the bill would cut Medicare benefits and raise premiums:
RHETORIC: LeMieux Said That The CMS Report States That Health Care Premiums And Costs Are Going To Increase. Sen. George Lemieux: “I want to speak today about the health care bill, and I want to speak about this new report that we received from the office of the actuary from the Centers for Medicaid and Services. Mr. President, unfortunately confirms many the problems that we already knew. But now this report comes from an independent actuary who works in the very agencies that have to implement our federal health care programs… First of all, the proposal that we’re debating increases the cost of health care… The chief actuary says on page 4 of this report that we’re going to spend $234 billion more on health care over the next ten years.” [Senate Floor, 12/11/09]
RHETORIC: LeMieux Said That The Senate Health Care Bill Robs From Medicare And Cost $2.5 Trillion. Sen. George Lemieux: “And if just one Democrat would feel their conscience and not vote for this bill, we could start over. We could work together in a bipartisan way and help those 45 million Americans who don’t have health insurance. But we wouldn’t do it by robbing from Medicare. We wouldn’t do it by raising taxes. We wouldn’t do it by creating a $2.5 trillion new program.” [Senate Floor, 12/11/09]
REALITY: THE PATIENT PROTECTION AND AFFORDABLE CARE ACT WILL REDUCE COSTS AND LOWER PREMIUMS FOR FAMILIES AND SMALL BUSINESS
TNR: The CMS Report Confirms That Medicare Care Spending “Really Would Come Down.” But the actual price may be even lower, at least as time goes forward. The Medicare Actuary does not project beyond the 2019 window. But it’s reasonable to assume that if the trend holds until 2019, it will hold for a few years beyond, to the point where medical care spending really would come down. And, in the end, the long-term trends on spending are what we really care about. It’s the potential for health reform to gobble up huge chunks of our national wealth twenty, thirty, or forty years from now. That’s the whole argument behind ‘bending the curve.’” [TNR, 12/11/09]
CMS Report: Senate Health Care Bill Saves Seniors Nearly $700 Per Couple Per Year While Reducing Premiums More Than $300 Per Year And Out Of Pocket Costs By Another $370 Per Year. According to a recently released CMS report, the Patient Protection and Affordable Care act saves seniors nearly $700 per couple per year, reducing premiums by more than $300 per year and out of pocket costs by another $370 per year in 2019. [CMS Report, 12/10/09]
CMS Report: Senate Health Care Bill Will Have “A Significant Downward Impact On Future Health Care Cost Growth Rates.” According to a recently released CMS report, the Patient Protection and Affordable Care Act will have “a significant downward impact on future health care cost growth rates.” [CMS Report, 12/10/09]
Study: “House And Senate Bills Would Save $683 Billion Or More In National Health Spending…And Lower Premiums By Nearly $2,000 Per Family.” The Commonwealth Fund released a report titled, “Why Health Reform Will Bend The Cost Curve.” It wrote: “The health reform bills passed by the U.S. House of Representatives and under consideration in the Senate introduce a range of payment and delivery system changes designed to achieve a significant slowing of health care cost growth. Most assessments of health reform legislation have focused only on the federal budgetary impact. This study projects the effect of national reform on total national health expenditures and the insurance premiums that American families would likely pay. We estimate that the combination of provisions in the House and Senate bills would save $683 billion or more in national health spending over the 10-year period 2010–2019 and lower premiums by nearly $2,000 per family. Moreover, the annual growth rate in national health expenditures could be slowed from 6.4 percent to 6.0 percent.” [Commonwealth Fund, 12/7/09]
WP: CBO Said The Senate Health Care Bill “Would Leave Premiums Unchanged Or Slightly Lower For The Vast Majority Of Americans, Contradicting Assertions By The Insurance Industry That The Average Family’s Coverage Would Rise.” “As the Senate opened debate Monday on a landmark plan to overhaul the nation’s health-care system, congressional budget analysts said the measure would leave premiums unchanged or slightly lower for the vast majority of Americans, contradicting assertions by the insurance industry that the average family’s coverage would rise by thousands of dollars if the proposal became law.” [Washington Post, 12/1/09]
NYT: CBO Said That The Senate Health Care Bill Could “Significantly Reduce Costs For Many People Who Buy Health Insurance On Their Own” And Would Reduce Premiums For People Who Get Their Insurance Through Their Employers. “The Congressional Budget Office said Monday that the Senate health bill could significantly reduce costs for many people who buy health insurance on their own, and that it would not substantially change premiums for the vast numbers of Americans who receive coverage from large employers. … In groups with 50 or fewer employees, it said, unsubsidized premiums in 2016 would average $7,800 a year for individuals and $19,200 for families — scarcely any different from the amounts expected under current law. Of the 25 million people receiving coverage from small businesses, it said, 3 million would qualify for subsidies, which would reduce their premiums by an average of 8 percent to 11 percent. Large employers would generally not be eligible for such assistance. Their premiums in 2016 under the bill would average $7,300 for individual coverage and $20,100 for family coverage, the report said. Under current law, the comparable figures would be $7,400 for individual coverage and $20,300 for family coverage.” [New York Times, 12/1/09]
Ezra Klein: “Congressional Budget Office: Reform Will Bring Down The Cost Of Health-Care Insurance.” “The Congressional Budget Office released a report today estimating changes to average premiums under the Senate health-care bill. The report is going to prove very important, and is going to confuse a lot of people. So let’s be very, very clear about what it says. The CBO’s analysis broke the health-care system into three parts: individual, small group and large group. The small- and large-group markets account for 159 million Americans, and have very little change in premiums. But what change they see is in the right direction: Health-care reform is expected to reduce premiums in the large group market by about 1.5 percent, and in the small group market by about 0.5 percent. … So in the final analysis, the effect of reform on your typical individual market purchasers is to give them insurance that’s about 30 percent better but only 10 to 12 percent more expensive, and then assure them subsidies that will lower their payments by more than 50 percent. And if you’re in the small group or large group markets, your premiums are expected to fall a bit.” [Ezra Klein, Washington Post, 11/30/09]
TNR: Health Care Reform Will “In Fact Deliver Some Savings… [And] It Certainly Won’t Raise Premiums.” “If you get insurance through a large employer, then your insurance premiums should stay roughly the same, with perhaps a very small decrease. … If you get insurance through a small employer, then, again, your insurance premiums should stay roughly the same, with perhaps an even smaller decrease. … If you get insurance on your own, then your premiums would probably go up, because you’d end up buying coverage that was more comprehensive. … But–and this is the key point–newly available federal subsidies will more than offset this increase. In other words, the majority of people buying coverage on their own will be able to spend less money and, at the same time, get better insurance. … But this analysis suggests reform can in fact deliver some savings–and that it certainly won’t raise premiums, as so many conservative critics have predicted.” [The New Republic, 11/30/09]
MIT Analysis: The Senate Health Care Bill Would Reduce Premium Prices In The Individual Health Insurance Market. “A new analysis by a leading MIT economist provides new ammunition for Democrats as the Senate begins formally debating the historic health-reform bill being pushed by President Barack Obama. The report concludes that under the Senate’s health-reform bill, Americans buying individual coverage will pay less than they do for today’s typical individual market coverage, and would be protected from high out-of-pocket costs. … Gruber concludes that people purchasing individual insurance would save an annual $200 (singles) to $500 (families) in 2009 dollars. And people with low incomes would receive premium tax credits that would reduce the price that they pay for health insurance by as much as $2,500 to $7,500.” [Politico, 11/28/09]
REALITY: THE SENATE HEALTH CARE BILL WOULD SLASH THE DEFICIT BY OVER $750 BILLION IN THE NEXT 20 YEARS DESPITE WHAT THE REPUBLICANS CLAIM
Claim That Senate Bill Would Cost $2.5 Trillion Was Generated By Senate Budget Committee Republicans. Fox News reported that, “Republicans have countered the CBO estimate with a figure of their own: $2.5 trillion, an estimate that comes out of the Senate Budget Committee minority’s analysis of Reid’s plan.” [Fox News, 11/19/09]
Roll Call: Senate Bill “Slash[es] The Deficit By A Whopping $777 Billion Over The Next 20 Years. “At first blush, Reid scored a coup with his $849 billion bill, because Democrats said the Congressional Budget Office estimated that it would slash the deficit by a whopping $777 billion over the next 20 years while providing insurance for an additional 31 million Americans. The price tag is also less than the $900 billion President Barack Obama had called for and the $1.2 trillion cost of the House-passed version… ‘He was applauded. His staff was applauded,’ said Senate Budget Chairman Kent Conrad (D-N.D.), a deficit hawk who said Reid did ‘an exceptionally good job.’” [Roll Call, 11/18/09]
Ezra Klein On Senate Bill: CBO Statements Confirm That, “The Curve, As They Say, Is Bent.” The Washington Post’s Ezra Klein wrote of the Senate health reform bill: “One actual surprise is that the Senate bill doesn’t just pay for itself. It balances itself out. That is to say, the bill is not deficit neutral because it costs a billion dollars and then the government raises a billion more dollars in taxes. In that scenario, the government is spending more, but paying for it. Rather, ‘CBO expects that, during the decade following the 10-year budget window, the increases and decreases in the federal budgetary commitment to health care stemming from this legislation would roughly balance out, so that there would be no significant change in that commitment.’ In the first 10 years, in other words, the bill improves the deficit a bit, but the government is spending $160 billion more on health care than it otherwise would have. In the second decade, however, that ends: The savings from Medicare and Medicaid, paired with the excise tax (which CBO says ‘is effectively a reduction in the existing tax expenditure for health insurance premiums’) and a handful of other changes, leaves the government spending no more on health care than it otherwise planned to. That’s impressive stuff. And it implies, of course, that in the third decade, the federal commitment actually goes down relative to expectation. The curve, as they say, is bent.” [Washington Post – Ezra Klein, 11/19/09]
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