Here are 13 problems with the current health care bills (partial list):

1. No cost controls on insurance companies. The coming sharp increases  
in premiums, deductibles, co-pays, co-insurance, etc. will quickly  
outpace any projected protections from caps on out-of-pocket costs.

2. Insurance companies will continue to be able to use marketing  
techniques to cherry-pick healthier, less costly enrollees.

3. No restrictions on insurance denials of care that insurers don't  
want to pay for. In case you missed it, the California Nurses  
Association/National Nurses Organizing Committee uncovered data on the  
California Department of Managed Care website recently that found six  
of the biggest California insurers rejected, on annual average, more  
than one-fifth of all claims every year since 2002.

4. No challenge to insurance company monopolies, especially in the top  
94 metropolitan areas, where one or two companies dominate, severely  
limiting choice and competition.

5. A massive government bailout for the insurance industry through the  
combination of the individual mandate requiring everyone not covered  
to buy insurance, public subsidies which go for buying insurance, no  
regulation on what insurers can charge, and no restrictions on their  
ability to decide what claims to pay.

6. No controls on drug prices. The White House deal with Big Pharma,  
which won bipartisan approval in the Senate Finance Committee, opposes  
the use of government leverage to negotiate real cost controls on  
inflated drug prices.

7. No single standard of care. Our multi-tiered system remains with  
access to care still determined by ability to pay.

8. Tax on comprehensive insurance plans. That will encourage employers  
to reduce benefits, shift more costs to employees, promote  
proliferation of bare-bones, high-deductible plans, and lead to more  
self-rationing of care and medical bankruptcies.

9. Not universal. Some people will remain uncovered, including those  
exempted, and undocumented workers, denying them treatment, exposing  
everyone to communicable diseases and inflating health care costs.

10. No definition of covered benefits.

11. No protection for our public safety net. Public hospitals and  
clinics will continue to be under-funded and a dumping ground for  
those the private system doesn't want. Public monies going to  
hospitals serving low-income communities will be shifted to subsidies  
for private insurance.

12. Long delay in implementation. Many reforms don't go into effect  
until 2013.

13. Nothing changes in basic structure of the system; health care  
remains a privilege, not a right.

We may be slow learners, but the rest of the industrial world has  
figured it out: Universal, single-payer or national health care  
systems. That's the reason why all those other countries cover  
everyone, have better patient outcomes, cause no one to declare  
bankruptcy or lose their homes because of medical bills, and spend  
less than half per capita on health care than we do.

http://www.commondreams.org/view/2009/09/29-0
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