Medicare Bill Would Enrich Companies
$125 Billion More for Employers, Health Firms
By Amy Goldstein
Washington Post Staff Writer
Monday, November 24, 2003; Page A01
The Medicare legislation that passed the House near dawn on Saturday and is moving toward a final vote in the Senate would steer at least $125 billion over the next decade in extra assistance to the health care industry and U.S. businesses, in addition to its widely heralded goal of helping older Americans pay for prescription drugs.
The largest chunk of that assistance, according to congressional budget estimates, would be $86 billion worth of payments and tax benefits for employers, giving them a new subsidy for the health benefits that many already provide to retirees. Health maintenance organizations, hospitals and physicians also would be paid more by the government for treating the 40 million elderly and disabled people in Medicare, the estimates show.
Whether this extra money, part of a $400 billion plan to redesign the program, is warranted remains a matter of intense debate. Regardless of whether the payments are needed, the bill's generosity to employers and major sectors of the medical industry helps explain the aggressive lobbying campaigns for the legislation by groups including the U.S. Chamber of Commerce and the American Medical Association.
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Thomas A. Scully, administrator of the federal agency that runs Medicare, said employers "should be having a giant ticker-tape parade." Scully recalled that he and Health and Human Services Secretary Tommy G. Thompson met in the spring with labor and corporate leaders -- including the chairmen of General Motors Corp., General Electric Co. and a major steel manufacturer. "Their joint plea was, retiree health costs are an unbelievable burden." They requested what Scully called "a modest buyout," equivalent to perhaps $350 per retiree. The bill, he said, provides more than twice that amount, a sum "way beyond their wildest requests."
http://www.washingtonpost.com/wp-dyn/articles/A8790-2003Nov23.html