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Jamie Dupree

Health Waiting Lists

By
Jamie Dupree
@ October 26, 2009 12:00 AM
Permalink | Comments (12) | TrackBacks (0)
While the health reform bill approved by the Senate Finance Committee isn't going to be the final product of Democrats in Congress, it's still instructive to look at. Especially when the phrase "waiting lists" is used.

At issue is Section 2215 on page 39, "Temporary High Risk Pools For Individuals With Preexisting Conditions."

Basically, this is a temporary insurance effort that would be backed by the government to the tune of $5 billion, to get insurance to people who can't get currently coverage because of preexisting medical conditions.

The report of the Finance Committee states that those eligible for this special pool are those who have been lost their coverage because of a preexisting condition or who have been uninsured for at least six months.

I noticed the provision last week, when I searched for every single dollar sign in the bill. What I didn't notice was one part of it, which discussed what would happen if expenses were too much for the government to cover with the $5 billion that would be authorized under this section for temporary coverage of those with preexisting conditions.

"If the Secretary estimates for any fiscal year that the aggregate amounts available for payment of expenses of the high risk pool will be less than the amount of the expenses, the Secretary shall make such adjustments as are necessary to eliminate such deficit, including reducing benefits, increasing premiums, or establishing waiting lists," the bill states.

In other words, if cash is low, then benefits could be cut, premiums could be increased and "waiting lists" could be established.

That last item caught the eye of Rep. Lynn Westmoreland (R-GA) as he was struggling his way through the bill one night last week.

"If I'm reading it correctly," Westmoreland said, "that concerns me."

"I've never known of an insurance company that would establish waiting lists," he added.

"That suggests rationing of care."

I looked through the four other bills that have been approved by committees in the Congress this year on health reform, and I didn't find the term "waiting lists" in any of them.

Is this rationing? Let me know what you think this section of the Baucus bill would do.

We'll see if it even makes it into the bill that goes to the Senate floor.



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What others are saying

  • waiting lists
    Just a wag, but I suppose waiting lists would be imposed on those who are first applying for coverage under the risk pool. This has happened at the state level for risk pools and SCHIP programs that have run out of money. Dirigo, the risk pool plan for residents of Maine, had to close access for new entrants when it ran out of money. Maine is the home state of Sen. Olympia Snowe . . . http://online.wsj.com/article/SB10001424052970204619004574322401816501182.html
  • pre existing
    Every state has a "High Risk Pool". Why has that not been mentioned in all the press. We don't need healthcare reform for we sick people.
  • Pre-existing
    I have been on the Oklahoma High Risk Pool for years. I don't understand what all the screaming about unhealthly people can't get insured. I believe every state now has a High Risk Pool. Why has this not ever been brought up in all the discussions
  • re: wing nuts
    sorry that post made no sense whatsoever...
  • wing nuts
    Some clowns are worried that people will have to wait if they get something they dont have now and they are opposed to giving them? LOL only in the la-la wingnut world. Its ok if they stay sick or die now thow LOL the death panels insurance companies are now LOL
  • Wait list
    My guess is that the entire phrase from "including reducing ..." would be changed to "immediately raising taxes on ..."
  • healthcare
    this is truely unbelievable. PEOPLE----have you ever heard of
    "YOU GET WHAT YOU PAY FOR...." they have underestimated the H1N1 vaccine that everyone NEEDS! imagine that.
  • Waiting Lists
    Reminds me of what one of my peers from UK said recently when I asked about their healthcare system...."It's just fine....if you don't mind waiting for months and possibly dying in line..."

    Sounds wonderful.

    It seems that there are many naive people in this world who think that letting government handle anything is a good idea.
  • Rationed Health Care
    Insurance in and of itself is something you buy hoping you'll never have to use it. Insurance companies are hoping you won't and then stack the deck against you by either charging a higher premium or not covering you at all for pre-existing conditions. Seems like it's gambling at its best.

    If you put people on a waiting list, you haven't changed anything. Those that get catastrophically sick still will either spend their savings paying the bills before they eventually go bankrupt or they just don't pay the bill and it falls once again on those that can afford to pay.

    What's different than what we have now?
  • Insuring the Uninsurable
    Can't we do something similiar to those who can't get homeowners insurance because they live in a high risk area - reinsure the insurance companies for catistrophic health events of people at high risk and let the private sector handle the insurance.
  • Healthcare "Waiting List"
    This is prudent in the respect of spending tax payer money wisely. The current system has waiting time for private insurance to approve a procedure. The "rationed care" argument becomes a wash.
  • waiting
    The intent is to insure the 'un-insurable' with these high risk pools. I'm familiar with the concept because at one time I was un-insurable.

    Seems to me what they are saying is "give us your sick, your tired, your poor and we will insure you... until we run out of money. Then you are on your own once again."

    It's a loss leader.
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