Report at the time of the finance: The intersection of U.S.A. and well medical reform Rise through the possibility of the bill

Report at the time of the finance: The intersection of U.S.A. and well medical reform Rise through the possibility of the bill
Author: Britain " Financial Times " Clive and Crook (Clive Crook) Translator Zhang Qing
A dog-tired week later, look made very complicated than any time around the battle of the party of U.S.A.'s health care reform. But is rising through the possibility of a bill finally.
The bill will not be put in right place in one step, but if it can make U.S.A. march towards the whole people's medical insurance, the government will claim it is successful. In general, this will be a just appraisal, though this bill seems to be destined to make some mistakes that actually could be avoided.

For now, the above-mentioned view may seem too optimistic. The leader of Democratic Party of House of Representatives has hoped to draw up the final edition of the bill last Friday. But because the inner-party conservative personage of finance demands to further save the expenses, this plan has not been realized after all. In how about representative have difference to improve the fiscal revenues too Democratic Party. Various motion, still in not discussing, including being to suck the intersection of candy and the intersection of beverage and lesson with heavy taxation, exceed dollar of the intersection of rich family and front yards, impose surtax,etc. to annual income.
Senate is making great efforts to solve the same problem: How to control the coverage rate of the medical insurance to expand cost increased, and how to pay the surplus expenses, so as to ensure the reform will not yield an extra pressure to the financial deficit during the following 10 years. Like House of Representatives, Senate plans to pass the decree, supervision and subsidy too, it is left together, to achieve the goal of expanding coverage rate that multicell. The basic contents have all already been fixed. But last weekend, committee's president of Senate's budget said, the bill draughtsman must draft the key part suggested again.
However, this kind of image of scarely having progress has misleading nature. The innovative accountant that takes in two respects of cost and tax revenue deals with and supplements the measure with the substance, filling in the financing gap. Meanwhile, must continue being consolidated through the extensive common understanding of a certain comprehensive medical reform scheme. Have taken action to already consider as the inevitable act. Barak's Palestinian horse (Barack Obama) Have already escorted one's own president's position. Even if is those persons who has the objection on some contents of bill - -Include the interest group that foils the medical reform too early and tries - -Also admit adopting a certain action. Can nearly affirm, the government will accomplish something.
But what should do? How about afford the necessary fund of the plan for reform, remain a critical difficult problem. Outwardly, the answer is very clear: Levy tax on medical insurance that the employer offers. In U.S.A. at present, the medical insurance offered by employer can be duty-free, but individual buys the medical insurance unable to support taxes. Such abnormal phenomenon has caused the revenue loss almost 250 billion dollars each time - -Still more than sufficient when using and paying the whole people's medical insurance. But all a lot of Democrats who join the Supreme People's Court and the Supreme People's Procuratorate object to calling and stopping the duty-free policy. Will break through to some extent in this respect?
If the trade union must repay wishing, the answer to the above-mentioned problem is denied. The trade union has been worked hard for many years, has just striven for to these generous welfare of evading payment of duty, they are unwilling to see one's own value appear back to lower. Another troubling question is, after cancelling the duty-free policy, a lot of employers will stop offering any medical insurance completely, force employees to enter the retail market. In this case, those risky buyers - -For example the person who there is the health problem - -It is unable to continue enjoying the group rate that its employer concludes.
The resistance is based on wrong understanding. It should be a goal, but not the thing that is worth fearing to let the employer break away from the medical insurance. Bundle insurance and employment together, aggravate the sense of insecurity that a lot of staff in U.S.A. are complaining: Have lost the job, has just lost medical insurance. This policy has concealed the cost that the medical insurance soared to the staff day by day, make them only see the stagnation of the salary. It encourages people excessive consumption medical care from two respects: It has destroyed consumers and the concerned withing between the cost at first; Secondly treatment of the tax revenue is a kind of subsidy too.
Then, what shall staff do the ones that are forced to enter the retail market are risky? If carry on more extensive reform while cancelling deductions and exemptions of taxes, require the insurance company to all people - -Whether it have a health problem - -Offer the insurance that can afford, so above-mentioned problem does not exist, but this is suggested by a bill. True, need, carry on the reform must want, increase tax revenue, a lot of with this unwilling to consider any member of congress. But a certain formal increasing taxes is inevitable. This kind of form is more meaningful than most other forms.
The US President should tell this kind of view. He may worry to some extent, because of his rival of Republican Party John and McCain (John McCain) Once appealed for carrying on this kind of change in the election, though he had not put forward more extensive plan for reform like Democrats. In any case, Palestinian horse and other Democrats condemned McCain's view at that time. But how is that? In other health care reforms, Palestinian horse has already changed the position. For example, he seems to incline to require individuals to buy the insurance even more at present. Let us expect he is in levying tax on medical insurance that the employer offer, demonstrate the similar flexible posture.
Totally cancel deductions and exemptions of taxes, incomes produced are enough to bury singly for the whole people's medical insurance, the rest can also be supported and reduced the long-term financial deficit. The most terrible situation is, besides raising the tax revenue and reducing the cost in other respects, the Congress may also cut down the expenses of the whole people's medical insurance, in order to further increase incomes. It comes out: Tax system of U.S.A. as maze will become more intricate; The dying of this U.S.A. mode of offering the insurance by employer, it will be unable to give full play to its advantage; The government will still probably avoid offering the essential reform of the mode to serving. But meanwhile, the written form that the bill will be signed, the coverage rate of the medical insurance will be expanded, health care reform can be launched too.
White House will call that " Accomplish the task satisfactorily " . In fact, when the time comes, the enlargement of the medical insurance range will make the challenge of controlling the standing cost become more urgent than for the moment. Simplify the tax system completely - -If may be accomplishedding - -Also more necessary than for the moment. Have every decree issue, medical insurance will ensure. But we will be unable to turn round, but on the political aspect, this is a kind of success.With the enhancement of health consciousness, people pay more and more attention to with the life closely bound up health problem, such as the food security, medical treatment is ensured, medical information,etc., healthy life should be from understanding information begins!More excellent health information please enter:News channel
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