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...written by the Senate Health, Education, Labor and Pensions (HELP) Committee - Ted Kennedy's panel - would yield savings in the long run. On the contrary, Democrats on Capitol Hill are having a hard time coming up with ways to keep reform from raising the cost of health care over the next decade. This has given lots of ammunition to both Republican and fiscally conservative Democratic critics of the health-care proposals. And it puts a lot of pressure on the Senate Finance Committee - the last Senate committee dealing with health-care reform, and the one long expected to generate some...

Author: /time Magazine | Title: The Five Biggest Hurdles to Health-Care Reform | 7/27/2009 | See Source »

...Medicare payments, took a hit late last week when the CBO estimated it would save only $2 billion over 10 years. The CBO acknowledged that the savings could turn out to be higher in the long run, but that qualifier highlighted one of the biggest problems for health-care-reform backers: the potential cost savings of overhauling the entire health-care system are unknown and impossible to predict with any accuracy. The CBO, for instance, has no real way to determine how much investments in prevention might save down the line...

Author: /time Magazine | Title: The Five Biggest Hurdles to Health-Care Reform | 7/27/2009 | See Source »

...Flexible Spending Account money - tax-free funds withheld by individuals to pay for certain medical expenses - for over-the-counter drugs; imposing taxes on alcohol, sodas and other unhealthy beverages; rescinding the nonprofit status of hospitals that act like for-profit companies and no longer offer charity care; and deriving $100 billion from a windfall tax on insurers based on their U.S. market share. But many of these ideas are controversial and face significant opposition from members and Senators representing areas where local companies or hospitals might be adversely impacted...

Author: /time Magazine | Title: The Five Biggest Hurdles to Health-Care Reform | 7/27/2009 | See Source »

...side of cutting costs is adding coverage for the nearly 50 million uninsured Americans. To that end, both the House and Senate HELP bills include a public plan that would compete with existing private plans - a highly controversial idea that Republicans say is tantamount to the socialization of health care, but which many Democrats (including Obama) say is essential for any overhaul of the system. The Senate Finance Committee's bill takes a middle-of-the-road approach, including a co-op plan, essentially a nonprofit version of a government plan that some critics say couldn't possibly compete effectively...

Author: /time Magazine | Title: The Five Biggest Hurdles to Health-Care Reform | 7/27/2009 | See Source »

...Personal Touch From the beginning, President Obama has taken almost the exact opposite route than that taken by President Bill Clinton in 1993. The Clinton health-care plan was written in secret, without input from Congress, before the Administration tried to ram it down the throat of the legislative branch. The catastrophic failure of that strategy is still burned into the minds of many former Clinton staffers, including Obama's chief of staff, Rahm Emanuel...

Author: /time Magazine | Title: The Five Biggest Hurdles to Health-Care Reform | 7/27/2009 | See Source »

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