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Posted by: Dan McGrath 3/20/2008

We recently interviewed Rep. Tom Emmer (R, Delano) and Twila Brase (Citizens' Council on Health Care) regarding the health care reform measures that have been intoduced by DFL legislators (SF3099 / HF3391). All Minnesotans should watch these interviews to understand how these so-called 'reforms' will ultimately impact the way health care is sold and delivered in Minnesota.

Rep. Tom Emmer, R, Delano - 10 minutes

Twila Brase, President, CCHC - 7 minutes

The bills (SF3099 / HF3391) are currently being hurried through the state legislature. Supporters say it will make health insurance more affordable and accessible.  The reality is that these proposals will do neither. Instead, the bills will target smokers, drinkers and people with some extra pounds for state-sponsored lifestyle modification initiatives, create new layers of expensive government bureaucracy and encumber small business owners with costly new administration mandates.

The creation of a proposed Health Insurance Exchange, the centerpiece of the bill (number SF3099), is ostensibly designed to provide to employees of small companies who purchase their own individual health insurance the same tax break as employers receive. In reality, the Exchange will increase the cost of privately-purchased health care by at least 2%, burdening taxpayers with new taxes and fees, and forcing small businesses to become bill collectors for insurance companies with whom they are otherwise unassociated.

The cost of medical services would actually increase under this proposal. Hospitals, other care providers and insurance companies will be billed for the Health Improvement Fund. The fund will seek to collect $40 million from health care providers, the expense of which will naturally be passed on to consumers.

A portion of SF3099 deals with sharing private medical records across multiple agencies and organizations, keeping track of your lifestyle choices, how much you weigh, funding third-party organizations to implement programs to cajole and coerce you into behavior choices preferred by the state, and recruiting as many people as possible into the state’s medical welfare programs (Medical Assistance and MinnesotaCare).

The ultimate goal of the bill appears to be to expand the number of people dependent on the state for their medical care.  The bill provides bounties paid to organizations and individuals that recruit new enrollees in the state’s medical welfare programs. Schools will be asked to single-out students who receive free or reduced-rate school lunch as targets for recruitment activities.  If a school is successful in enrolling a student’s family, they will earn a $25 bounty. To entice potential new enrollees, the bill suggests that organizations should "provide an applicant a gift certificate or other incentive upon enrollment."

Once registered into the state system, enrollees will be required to submit to mandatory health and weight screening, and a complete loss of medical privacy.

There is no uninsured crisis in Minnesota. The current rate of uninsured people is estimated at 7.2 percent. Demonstrably, the majority of those uninsured are without coverage by choice. Fifty-four percent of Minnesota’s uninsured are eligible for state assistance, but they choose not to enroll. The rest are eligible for employer group or individual plans, but have decided not to purchase the insurance.

The Insurance Exchange is an expensive solution to a problem that doesn’t exist.  The rest of the plan attempts to put more people on the public dole, while raising taxes and fees, invading patient privacy and restricting individual freedoms.

Government is the problem, not the solution.  Minnesota has the highest number of government-imposed insurance mandates in the country. Instead of allowing insurance companies to offer different products for different people, the goverment has mandated what must be included in every plan, thereby driving up the cost of insurance for everyone.  Goverment has also errected barriers that prevent insurance companies from outside the state to compete for your business.  Everyone knows that when there's competition within a marketplace, costs go down and quality goes up. 

Adding more layers of bureaucracy and regulation won’t solve our health care problems.  It will only exacerbate them. The solution lies in the free market. Offering consumers more choice in personalizing their health coverage plans by eliminating government mandates would immediately reduce the cost of coverage for most Minnesotans. A simple change in our tax code could eliminate the need for complicated plans like the Insurance Exchange by giving everyone the same tax deduction for health care expenditures. This would also help decouple insurance from a person’s employment situation, and make health insurance more portable.

TAKE ACTION: Click here to contact your state legislators now.

Be sure to read Craig Westover's recent columns in the Pioneer Press: The Devil's Not in the Detail, But Sitting in Plain Sight and A Sow's Ear of Corporate Socialism.  Also take a look at It's Universal at Ladies Logic.

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Comments (27)   Add Comment
Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Julie on 3/13/2008
As if government has not been a big enough failure in the arenas of transportation, welfare, and immigration etc. Have they done anything to demonstrate they can prioritize and manage a budget effectively? No - they spend their time declaring hockey the state sport, worrying about people who weigh too much and let's not leave out funding polar bear exhibits.

Anyone who believes they should become even MORE involved in something as important as healthcare is OUT OF THEIR MIND.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Winifred Plummer on 3/14/2008
We don't need anymore TAXES.... What are these yahoo's thinking? Obviously they don't understand the concept of a budget. My family and I are struggling as is.... We don't need or want this. I hope while they sit in their fancy offices and eat gourmet meals and make themselves feel all big and mighty... I'm at home taking care of my kids and scrapping their leftovers onto a plate so I can eat because I'm on a fixed budget because I'm spending over $3 per gal in gas......$80 a month in MILK!!! Yes milk (for the kids) high property taxes and now my energy cost will go up along with everything else. Hopefully not healthcare too! When is enough, enough?

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Karen on 3/18/2008
I am so tired of living in the Socialist Republic of Minnesota. I am taxed and fee'd to no end. The only difference between this state and Boston and England back in 1770's is that we have representation. However, it appears to be the same level of representation as received by King George! We write, We call, We e-mail and NO ONE LISTENS! Our elected Representatives do as they please, with no regard to the opinion or wishes of their constituencies! At this point, if you currently hold a seat in the Minnesota Congress or Senate, DO NOT expect my vote when you are up for re-election.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Greg Absey on 3/18/2008
This is one of the worst proposals I've heard of. I do not want the govewrnment to take over the health system. Why doesn't the government just stop regulating, taxing, and criminalizing. It seems that since the Democrats took over they have been on a road to control our lives. I'm sick of it. Get out!

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Dave on 3/18/2008
Please leave the Health Care System alone. Can't you see that this will do more harm than Good??? Where is your heart at??? I will pray for your hearts to change.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Jose on 3/18/2008
It's going to be The DMV with needles. Long lines, frustrated personnel and frustrated patients. I moved to Minnesota to make a better life for my family, looks like we'll be moving out for the same reason. When did it become vogue for Socialists to operate so openly in the United States? Great job Reps.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By David on 3/18/2008
This government, the same one that can't keep bridges from collapsing, can't reduce violent crime rates, can't even fill the potholes, wants to mess with our healthcare. Unbelievable!! I just can't take much more of this socialist, totalitarian, Nanny-State garbage. I've lived here 45 years and I thank God I will be free and clear to move out of this hole in the near future. Unless our elected tormentors in St. Paul decide to seize the assets of those trying to flee their tyranny. I wouldn't put it past them, but I'm sure they'll call it something innocuous like a "fee".

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Tim on 3/19/2008
I totally agree. Since we already have a healthcare system that provides high quality, affordable care for everyone we should leave the system alone. I know if I lose my job where I, like all Minnesotans, pay virtually nothing in health care insurance premiums, I will not have to worry about being denied coverage due to a pre-existing condition and I'll still be able to afford my heart medicine while I'm unemployed. Like they say, if it aint broke, don't fix it!

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By dan.mcgrath on 3/19/2008
The point isn't that nothing should be done about health care in Minnesota. To the contrary, Minnesota's health care laws are a mess. The solution to problems created by state government isn't more state government, though. It's less. We advocate a market-based approach that removes the policy mandates and allows consumers to choose the health plan that best suits them. Expanding HSAs, cafeteria-style plans, opening the market to out of state competition, and changes in the tax code (especially at the federal level) will bring down costs. Increased competiton will have the added benefit of driving up quality and effeciency.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By bobbie on 3/21/2008
The burden is many people making the same or higher wages didn't have this expense and don't want it. So the burden is put on us.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By brad on 3/23/2008
The alternatives here in illinois are unecessay tests done by a hospital and medical staff without enough oversight, spending Medicare dollars that you and I pay with taxes. My time in Minnesota hospitals was spent with professionals who looked after the patient's bottom line-physically and monetarily. The free market solution to health care is NOT the answer!

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By brad on 3/23/2008
So much for intelligent discourse in the this "Great Nation"

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By dan.mcgrath on 3/23/2008
Brad,
I'm afraid I don't follow your comments. You say you spent time with doctors in Minnesota who looked after the patient's "bottom line" physically and monetarily, and then suggest that a free market solution isn't the answer. Looking after quality and cost is precicely the result of free market private transactions.

I also don't understand your comment about discourse. Isn't that what's happening here?

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By David on 3/24/2008
I just got a response from my legislator, Patricia Torres Ray, to the fax you sent her on my behalf. It was your basic boilerplate BS. "Thank you for your input, blah blah blah. We all want the same thing, blah blah blah. I will carefully consider your input, blah blah blah, when this comes up for a vote, blah blah blah, and then vote FOR SF3099 anyway. Go pound sand, you worthless taxpayer". WHAT A SURPRISE!
THIS kind of response is EXACTLY why I'll be leaving this god-forsaken, socialist hellhole as soon as I possibly can. The level of contempt this government shows towards the taxpayers who pay their salaries makes my blood boil. Life's too short to be tyrannized by those unqualified to polish my boots.
And I can't speak for anyone else, but every time I hear these swine say they plan to fix something, I CRINGE! They can't even "fix" the state budget. Morons.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By A Abdulquatar on 3/24/2008
David, if you are going to rant and rave and count the days until you can leave "Hell Hole" Minnesota - where I am happy to live - then you are an illogical part of the problem not part of a working solution. Railing solves nothing - it raises blood pressure and at the very least places you at risk of using the horrible medical system you are railing about.

If one wants solutions then start with a goal, for example: A high quality cost efficient healthcare system that covers everyone, deals in prevention, and removes low income people from getting all their treatment in the emergency rooms at high cost and instead puts them in clinics with efficient coverage to get the job done without constant costly emergencies.

Once you have a goal then figure out how to organize it and lastly how to pay for it.

In my humble opinion, the primary cause of our problems is starting with a false goal - cost. A system properly organized, designed and managed - whether it be single payer or competitive market driven or something else - will of itself keep the costs down. Again as long as it is properly organized - not a hodge podge of post-it notes various interests tag on each time until it is, like now, incomprehensible favoring only the greedy.

Remember ranting and railing will only get you into the hospital with heart failure my friend.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By dan.mcgrath on 3/24/2008
Single payer will always result in overuse. Thus, long waits and high costs. The only way to organize and manage the resultant mess is rationing - making care less available. Single payer is a disaster in the UK and Canada. Remember, Canadians come here with their serious health care needs - if they have the means, anyhow. Our system is far from perfect, but that should tell you something about single-payer.

Competition makes every industry better for the consumer. Why are so many so reluctant to allow competition in the health care markets?

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By A Abdulquatar on 3/25/2008
I'm curious Mr. McGrath.
Your mention of rationing raises a question. Who are you going to exclude from medical treatment? Poor? Wealthy? Certain illnesses or injuries? What criteria?
You realize, of course, it is a decision of who you want to let get worse and become invalids or expire.
If you are thinking of cutting off certain high cost illnesses, check statistics. Those few that do cost a million or so also affect so few people that it would have under 1/100th of a percent effect on the overall cost.
I find everyone in favor of rationing changes their view once their mom, dad, sister, brother, spouse or child is the one in danger.
So again - what are you going to ration?

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By David on 3/25/2008
To Abdulquatar,

You misunderstand. I am not railing against the Health Care system. It has worked very well for me and my family. And my health is just fine, but thanks for your concern. What I AM railing against are more government mandates. Government mandates are what have reduced our choices in health care in this state, and driven costs up. Considering that, I find it illogical to believe that further government mandates will solve the problem. I am further railing against a government that only panders to those with their hands out, saying "I need help. Take care of me. You owe me!" And then that government telling me I must not only pay for me and mine, but for every lay-about loser that doesn't want to take care of themselves. By your statement I see that you're just fine with a socialist, Nanny-State type of government. That's fine, but don't expect every one else to feel the same way.
I don't know if you're aware of it, but this country was founded on principles of self-determination and self-reliance. Sadly, to me, that value system has been eroded away and replaced with an entitlement mentality. And before you assume me to be rich, heartless and greedy, know this: I grew up in a lower middle-class single-parent household right here in the Twin Cities, and everything I now have, my wife and I worked very hard to attain. My mother taught me from a very early age that there was no free lunch, and that if I ever wanted to become anything I would have to earn it for myself. It's too bad there are so many here now who didn't learn that same lesson.
Further, I find it telling that you categorize my post as simple "ranting and raving", simply because I won't bend over meekly and take it from our government. Your 'liberalism' is showing, my friend.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By dan.mcgrath on 3/25/2008
I'm not in favor of rationing. I was just pointing out that that is the result of a single-payer system, which I think is the wrong tack.

As to the poor, we advocate a better system of coverage for those on subsidized care as well. Rather than the state acting as the insurance company, the state could buy private catastrophic (high-deductible) plans for enrollees, coupled with a provided medical debit card (similar to a Health Savings Account). The subsidized patient would then use the debit card to pay for everyday medical expenses up to the deductible. If, however the debit card's limit wasn't reached (triggering the high-deductible plan), the enrollee would be able to roll the savings over into a special savings account which could be used for retirement, a first-time home purchase, or tuition.

The result will be more fiscal responsibility on the part of the enrollee which has the benefits of reducing overuse and driving down costs. The consumer would be charge of his or her medical dollars and have incentive to spend carefully. A plan like this would also even out and reduce the state's cost of subsidy.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By A Abdulquatar on 3/26/2008
Wow! it is exciting for a life long mainstream GOP'er to be labled a liberal, a socialist and nanny-state enthusiast in a single breath. Unless of course you are thinking from my name, David, that a 4th generation American is a recent unknowing ignorant immigrant - perhaps from the devil-ridden middle east.

Mr. McGrath. This republican wants to point out that it simply is good business and good for business to address the social problems, especially medical care. My own family, like big businesses such as McDonalds, Target, WalMart and others has employed hundreds of low income workers. It also helped our wealth that society subsidizes our businesses by paying costs that in other western countries businesses such as ours are obligated to pay. Instead of providing wages that actually pay their families' bare minimum subsistance living expenses, we underpay to keep our prices low and competitive. Because prices, rent, transportation and medical care are above what a person making only $300-$400 a week can afford, we have set up a government that taxes us all to death and suppliments their rent, their food, their transportation and their medical care - care usually taken in Emergency Rooms at extreme costs because they have no coverage and thus no clinic will take them in for regular care. And we cause expensive social ills by making their families unstable and emotionally/mentally challenged - frequently moving housing, schools and whatever. Stability makes for better families and less problems, don't you agree. We spend a fortune on helping huge numbers of children with education when the real cause of their failure is instability at home. We have food shelves, clothing drives, and everything else to help these people. My church delivers and serves thousands of dollars a month in food, clothing and services to keep people afloat. No - not the bums with signs. We serve the people that just don't make enough to live. My families' workers have, for most of them, worked very hard, I can see it, and produce very well and many exhibit true care about the company. But we don't/can't pay them enough as previously stated - we have to be competitive. These huge numbers are not "I need help. Take care of me. You owe me!" people like David refers to, they are the millions between minimum wage to $12 an hour. (Hennepin County calculates it takes $13/hr just to rent a low grade 1 bedroom apartment for 2 people in the dangerous near north side and provide food and clothing on their table without subsidy - not counting any discretionary spending such as entertainment).

I believe the real conservative approach is to get rid of the government programs as much as possible - by reforming society in a way that makes it possible for every working family to take care of themselves - with some obvious exceptions for those in need. Then free market works. I believe in free market but not for those that are greedy. Free market wont work as long as we have a society where it is impossible for 1/3 of the people to earn enough to live on their own. As long we all don't/can't pay a true living wage, we will all have to subsidize the low income people, if only to avoid rebellion - a subject for another day.

Now tell me why free market self-sufficiency for everyone is not conservative or republican?

A Abdulquatar

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By David on 3/26/2008
A Abdulquatar,

I don't mean to be contentious, but calling yourself a life-long GOP-er does not make you any less liberal, socialist or a fan of the Nanny-State, especially here in Minnesota where there is so little difference between the two parties. Far too many "Republicans" in this state don't have a conservative bone in their bodies. If I have misjudged you, I apologize. I was simply basing my opinion on your posts. If it walks like a duck, etc.

And no, I did not judge you based on your internet handle, as it can mean anything or nothing. But thanks for calling me a racist, as well as an illogical ranter and raver (another favored tactic of the left to stifle dissent).

As to your last post, are you for or against the healthcare proposals addressed in this thread (SF3099 and HF3391) which are indeed Nanny-State BS at its most virulent? Or are you for free market solutions? While I must admit you are quite eloquent in your discourse, your latest post leaves your position unclear. It sounds to me like you are condemning that which you are also in favor of.

Please enlighten me.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By dan.mcgrath on 3/26/2008
I almost didn't let this last comment through because the discourse is turning personal. Let's refrain from any personal comments or assumptions, and stick to the issues, shall we?

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Barb on 3/26/2008
Yes, and the issue of health is personal, healthcare is personal responsibility including parental (the human lives your choice of actions bring into this world). Healthcare insurance is a privilege that many RESPONSIBLE people provide AT THEIR COST to themselves and families. Government is not needed! If you are human you appreciate this responsibility to be accountable and won't be easily influenced by government BS. Where, in this satan driven world does: universal, socialized whatever it's called today, healthcare WORK FOR EVERYONE????

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By A Abdulquatar on 3/27/2008
Thank you Mr. McGrath. Barb, your response is correct. Unfortunately only a small number of people earn enough to pay their own way medically. 22% of Minnesotans earn below the federal poverty guideline. Everyone's answers beg the question - what should we do about the people who work hard but simply do not earn enough. I will then preempt the response that maybe they should not have brought children into the world or done XXXX if they are not high enough income. My own family alone contains histories of quite well off families who have undergone an unpredictable tragedy or two which dropped them from big house, successful business, savings, insurance, investments and all the right things into impoverished life and the public safety net. Yes they have rebounded somewhat. But the point again is that we have to one way or the other deal with a very large portion of our society that does not earn enough to pay the medical expense or insurance or use medical savings. They barely can live. So far I have heard no solution to that problem. My solution is to structure tax laws so that employers are incentived to pay enough so that people can take care of themselves - excepting those that truely need a safety net. What I would call a true conservative view.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By dan.mcgrath on 3/27/2008
About 7% of Minnesotans are currently uninsured. I happen to be among them, by choice. I self-pay for all medical services. I'm getting older, though and have decided to go with an HSA coupled with a high-deductible policy. This will keep me in control of most of my health care dollars, and provide safety net in case something catastrophic happens. The same sort of arrangement can work for people on subsidised insurance. Buying enrollees high-deductible plans coupled with medical debit cards charged with dollars equal to the amount of the deductible. Unused dollars on the card would roll over into an account which could be used for tuition, retirement savings or a first-time purchase. That would incent people to spend health dollars effeciently, and reduce over-use.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Barb on 3/28/2008
People have to learn their responsibilities and how to budget their expenses. The government should mandate every business with a certain # of full time employees, to have accessible some form of health care. And regulate it's expense, but keep their nose out of our privacy. Employees who choose not to accept should be denied any taxpaying health entity of the government. And any employee who's employer doesn't offer health care can buy MNCARE. What's the problem? Except many people have gotten away without this expense. I'm not sure what the poverty level is but our household makes under $40,000. 2 kids, 2 parents. We have always provided for our children, regardless of income or the economy, (HUMAN INSTINCT). We have a chronic illness in the family. An expense that is our responsibility. We do not want to expose our privacy to the government/infringe our health and its expense on taxpayers or be forced or punished to increased costs, because we have integrity and go without to be able to provide with our own money. Working hard, and thanks to the government, getting nowhere. Freedom of choice with responsibility to pay.

Re: New Health Care Proposals Unnecessary, Expensive and Intrusive    By Barb on 3/28/2008
If my previous post makes it I need to clarify, our take home income is approximately $29,000. I'd like to know the percentage of people taking home 29,000 a year, who provide for their children, who live independently? Who pay their utility costs, mortgage payments, food, education...healthcare, who live without ANY FORM of government handout. There are too many people waiting for that government handout instead of taking on their INDEPENDENCE! For the last 8 years we have been forced to take from our retirement to pay unfair taxes, while government continues to take from us to keep others dependent on GOVERNMENT.


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August 20, 2008
 
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