Obama's signature health overhaul law's relentless Republican attacks, has suffered its first major casualty - a long-term care insurance.
Troubled from the start of the project is scheduled for launch in 2012, its financial solvency in doubt.
Supporters, including many organizations towards the adoption of health law, have vowed, a vigorous effort to save the program, adhere to the Congress to give the government broad powers to make changes. Long-term care includes not only nursing homes, home health aides for the disabled, but other services.
New Mexico Senator, RS.D., said: "This is a U.S. taxpayer and future generations of victory, the first opposition in the Senate." Management is the ultimate recognition of (long-term care plan) is not sustainable, can not be implemented . "
Known level, community life support services and support programs is a long-term priorities, the late Senator Edward Kennedy, D-Mass.
Although sponsored by the government, it should be maintained as a voluntary self-insurance program, open, regardless of age or health of working adults. Workers will be in their career an affordable monthly premium, if they become disabled later in life, you can collect at least a modest $ 50 a day cash grants. Money or services at home to help the nursing home bill.
However, the central design flaw tenacious class. Unless a large number of healthy people willing to sign, in their working years, driven by the needs of disabled beneficiary premiums soaring, and ultimately will destroy it requires taxpayer assistance.
Adhere may be fixed after a few months, the Ministry of Health and Human Services Secretary Kathleen Sebelius on Friday finally admitted that she did not see how to do.
"Sebelius said:" Despite our best analysis, I do not see the class at this time put forward a viable implementation of the road, in a letter to congressional leaders.
Law that class 75 years of management will remain the financial position of the solvent to be able to put in place.
But officials said they found they could not make the class, while maintaining a voluntary program open, almost all of the workers' economic and financial solvent, such as the law also requires.
Monthly premium from $ 235 to $ 391, and even in some cases, high $ 3,000 range, authorities said. These prices, healthy people may be signed. Officials said, to discourage enrollment of poor health of people the proposed changes, you can open the program to the court challenge.
Greenlee, leading to the official class, Casey said: "If you do not cause health buyers ... then the premium will increase, which will make it less attractive, buyers can get a policy in the private market , in a memo, Sebelius. "causes the program will soon collapse. "
This is a high-level government experts in 2009 reached the same conclusion. Health law was passed nearly a year ago, Richard Foster, remote medical person in charge of economic forecasts warn that administration and congressional officials, the class is not feasible. His warnings were ignored, President Obama announced his long-term care plan, his health care bill support.
The demise of the class, immediately led to the speculation that the impact of the federal budget. Although there is no premium may be collected, the program is still considered in the next 10 years about 80 billion dollars to reduce the federal deficit. This is because a rule, would require workers to pay at least 5 years before they can collect any benefits.
"Kind of behavior is likely to increase the budget gimmick Washington bureaucrats numbers on a spreadsheet, but in the real world is doomed to failure," Kentucky Senate Republican leader Mitch McConnell said.
Government officials said Obama's next year's budget will reflect the decision not to go forward. Even without the premium class, they said more than 10 years of health law will reduce the $ 12 billion deficit over.
Kennedy's original idea was to give the family some financial breathing room. Most families can not afford to hire home health assistant for the frail elderly, not to mention pay nursing home bills. Care usually is provided by family members, often spouses, they may also have health problems.
Troubled from the start of the project is scheduled for launch in 2012, its financial solvency in doubt.
Supporters, including many organizations towards the adoption of health law, have vowed, a vigorous effort to save the program, adhere to the Congress to give the government broad powers to make changes. Long-term care includes not only nursing homes, home health aides for the disabled, but other services.
New Mexico Senator, RS.D., said: "This is a U.S. taxpayer and future generations of victory, the first opposition in the Senate." Management is the ultimate recognition of (long-term care plan) is not sustainable, can not be implemented . "
Known level, community life support services and support programs is a long-term priorities, the late Senator Edward Kennedy, D-Mass.
Although sponsored by the government, it should be maintained as a voluntary self-insurance program, open, regardless of age or health of working adults. Workers will be in their career an affordable monthly premium, if they become disabled later in life, you can collect at least a modest $ 50 a day cash grants. Money or services at home to help the nursing home bill.
However, the central design flaw tenacious class. Unless a large number of healthy people willing to sign, in their working years, driven by the needs of disabled beneficiary premiums soaring, and ultimately will destroy it requires taxpayer assistance.
Adhere may be fixed after a few months, the Ministry of Health and Human Services Secretary Kathleen Sebelius on Friday finally admitted that she did not see how to do.
"Sebelius said:" Despite our best analysis, I do not see the class at this time put forward a viable implementation of the road, in a letter to congressional leaders.
Law that class 75 years of management will remain the financial position of the solvent to be able to put in place.
But officials said they found they could not make the class, while maintaining a voluntary program open, almost all of the workers' economic and financial solvent, such as the law also requires.
Monthly premium from $ 235 to $ 391, and even in some cases, high $ 3,000 range, authorities said. These prices, healthy people may be signed. Officials said, to discourage enrollment of poor health of people the proposed changes, you can open the program to the court challenge.
Greenlee, leading to the official class, Casey said: "If you do not cause health buyers ... then the premium will increase, which will make it less attractive, buyers can get a policy in the private market , in a memo, Sebelius. "causes the program will soon collapse. "
This is a high-level government experts in 2009 reached the same conclusion. Health law was passed nearly a year ago, Richard Foster, remote medical person in charge of economic forecasts warn that administration and congressional officials, the class is not feasible. His warnings were ignored, President Obama announced his long-term care plan, his health care bill support.
The demise of the class, immediately led to the speculation that the impact of the federal budget. Although there is no premium may be collected, the program is still considered in the next 10 years about 80 billion dollars to reduce the federal deficit. This is because a rule, would require workers to pay at least 5 years before they can collect any benefits.
"Kind of behavior is likely to increase the budget gimmick Washington bureaucrats numbers on a spreadsheet, but in the real world is doomed to failure," Kentucky Senate Republican leader Mitch McConnell said.
Government officials said Obama's next year's budget will reflect the decision not to go forward. Even without the premium class, they said more than 10 years of health law will reduce the $ 12 billion deficit over.
Kennedy's original idea was to give the family some financial breathing room. Most families can not afford to hire home health assistant for the frail elderly, not to mention pay nursing home bills. Care usually is provided by family members, often spouses, they may also have health problems.
"(Sibelius) prematurely, said she did not see the road ahead, we are very disappointed," AARP, the elderly lobby, said in a statement. "Long-term care needs will only continue to grow."
Sebelius said the government hopes the program with Congress and supporters of the work to find a solution. But in a polarized political climate, it seems unlikely that class can be salvaged. Congressional Republicans will continue to be repealed. President Obama signed on Friday pulled the plug on health care reform law a major program - long-term care insurance plan, is tenacious suspicion from the outset in its financial solvency.
Republicans in Congress for the abolition of long-term care plans to be in health care law, politics and policies of the first victim of war.
"This is the American taxpayers and future generations of victory," said New Mexico Senator John, RS.D.
Supporters say they will begin a vigorous effort to rescue the long-term care plans, and insisted that the Congress the broad power to change. President Obama Pull health care reform law signed by a major program of plug-in - a long-term care insurance plan, is tenacious suspicion from the outset in its financial solvency. Obama's signature health overhaul law's relentless Republican attacks, has suffered its first major casualty - a long-term care insurance plan there are too many questions, from the outset, tenacious in its financial solvency.
The program became law in health care politics and policy, the first victim of war. It was expected to launch in 2013.
Supporters, including many organizations towards the adoption of health law, have vowed, a vigorous effort to save the program, adhere to the Congress to give the government broad powers to make changes. Long-term care includes not only nursing homes, home health aides for the disabled, but other services. The United States will not start a long-term care plan from the 2010 health overhaul, the biggest piece of legislation, so far, Congress, the courts or the government to stop President Obama created.
Department of Health and Human Services said it would indefinitely suspend the program, known as Class Act ", saying the financially unsustainable so, officials said the savings from the health law will cut $ 86 billion deficit, more than ten years from 2100 billion U.S. dollars.
HHS Secretary Kathleen Sebelius said: "I do not see the class implemented at this time that a viable path," the letter to congressional leaders yesterday.
Long-term care program has been supported by his death, former Massachusetts Senator Edward Kennedy. Republicans in Congress called it an accounting gimmick, its premium income will be used to pay for other parts of the law, and that the Democratic Party greatly underestimated its future costs. Decided to close it confirmed their criticism, they said.
The program is "a blatant scam, cooking books, trying to cover the cost of unsustainable" health law, said Michael Steel, Ohio Republican House Speaker John Boehner, the spokesman said in an e-mail.
Democrats and supporters of the class, this is a good attempt to address the expected long-term care for the disabled, up to $ 80,000 per year, the installation cost in a nursing home, according to the executive memorandum.
Administration and Congress should "continue to explore all options to address key long-term care needs of Americans," write the authors of the memorandum, 凯西格林利, assistant secretary of aging under Sibelius.
Kennedy's role
Kennedy has advocated the need for a long-term disability insurance plans, and his 46 year career in the Senate to push class - community living assistance services and support - he died in August 2009 before the health overhaul. Obama signed in March 2010 the Health Act.
The aim is to help people with disabilities due to illness or accident. Payment of premiums and employment, the beneficiaries will be eligible after five years to provide home health care and support services to at least $ 50. The program paid for itself as a model.
Category is voluntary, the applicant can not be rejected because their medical conditions, a combination of problems, because healthy people may not have a large enough number of registration, to make up for the interests of sick people need.
Monthly premium
Greenlee said in her memo, plan monthly premium may be as high as $ 3,000 "adverse selection, if particularly serious," and signed too many people sick.
Republicans celebrate the demise of the program, calling it the cost is estimated to reduce health law policy failures. At that time, the U.S. Congressional Budget Office minus $ 7 billion in legal fees, the amount of premium income class is expected to exceed the benefits in the first decade.
Kentucky, in the Chamber's senior Republican Senator Mitch McConnell said in a statement, "program" in the real world is doomed to failure.
The program's advocates say it can be saved.
"Our position has always been and will continue to be, they have the power to move, twist the cube until the pop-up a solution," Connie Ghana, AdvanceClass executive director, in Sibelius' recently released a telephone interview, said she The group representative of nursing homes, the disabled and the elderly lobby AARP organization to promote implementation of the plan.
To find the answers
Frank Pallone, New Jersey, Democratic Party leader who is the program's supporters in the House of Representatives, one representative said that the Obama administration to abandon the "is" wrong.
He said in a statement: "give it up simply is not an option." If the program needs to be improved, and then let us find a way to do this. "
Ghana said that the government can make the necessary changes, to help repair the program without congressional action 95%.
"Ponzi scheme, the North Dakota Democratic Senator Conrad (Kent Conrad), described as an early version of the program." Later, he supported the creation of its laws. Republicans seize this statement, ridicule from the premium class cost burden more than the right.
The end of the program, "sad, but not surprising, said:" Van Paul - water, medical insurance and budget, in the Budget and Policy Priorities Center expert, a nonprofit research group studies tend to support Democratic policies.
"Good" ideas
"The purpose here is good," he said in an interview with reporters. "However, programs written in the law is over-constrained."
Health Law class to maintain the premiums on the beneficiaries, without taxpayer subsidies, van der Water said, Sebelius is not allowed to start unless the actuarial analysis indicates that it will be 75 years of financial stability.
The program does not meet the bar, Greenlee said, in her memorandum. To avoid the collapse of the program, such as requiring people to buy insurance, government authorities may take steps, the risk of violating the law.
"Greene said:" We do not have a path forward, in a conference call with reporters.
The United States, Richard Foster, Medicare and Medicaid Services of the Chief Actuary in April 2010, a report predicted the program will cost the federal government more than it started in 2025.
Nod to the future
Sibelius telegraphed in February, the program's fate, when she told a Senate Finance Committee hearing on class "will not start unless we can be sure it will be solvent and self-sustaining into the future."
Her department, Richard Sorian rope on the confirmation class last month, the spokesman said: "It is an open question whether the implementation of the program."
Republicans in Congress plan to keep the investigation procedures, the Democrats' expansion of savings and the alleged cover up the true cost "of health law, Debbee Keller said, the House Energy and Commerce Committee Chairman, Michigan Republican Fuleidee Templeton's speech people, the panel has jurisdiction. "Everyone can see written on the wall, this program is not sustainable, but the Administration continue to stand behind the program, until this announcement."
Senate Appropriations Committee passed the fiscal 2012 spending bill for the September 21, the removal of financial health departments to develop a class that is not clear whether it will continue. Obama has requested $ 1.2 million program.
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