Los Angeles (Dow Jones) — which, which hope that the praesidentenwahl gets finally 2008 approximately drastic health care improvement, can out-pour the end, which finds it above, are a case of the policy and the business, as usual, experts to say. It is still early in running to the white house, but at the moment it does not seem to give much in the way of the strong shifts on the horizon for, which many regard as the highest domestic priority of the nation, if present requests are not changed by the handful of Praesidentenhopefuls. “none [ the plans ] revolutionize the system,”, said Roger Feldman, a professor at the university of Minnesota, which specializes in health insurance., “, them held all [ plans ] [ ordering ] of the systems reconstruction in most cases.” The one idea, which could cause most circulation — prescribed covering for all — meets enormous skepticism and little probability of the passage, at least on the national stage one gives. Other requests, which distribute now, are short on pragmatic solutions, tune experts too and not really received at the heart of the affair — a out of control cost structure. Some it are surprised whether candidates really preserve stump for drastic improvements in health care, while they take note-adjust-walked in the contributions of the health care industry at one. Industrial contributions are above by two digit numbers from 2004 to now “[ insurers ] are protection carrier candidates, who literally write them into the solution,”, said Jerry Flanagan, public health policy specialist for the basis for taxpayers and consumer rights. Further the requests cannot have possibly the desired effect. While that is United States health care system in the terrible necessity for the improvement, say the health insurers of the nation that to consumers not on them count can, in order premiums even with prescribed covering to cut, which is translated, in order more people into insurance the pool to cut costs to get. Many are of prescribed covering sceptically, since it is safe, the bags of health carriers as not insured will that the whole nation to draw must consent or fiscal penalties confront. “47 million are, said more customers for it” the university by Feldman Minnesotas. Insurers say, who are not necessarily a good thing. They say that, while a number of the not insured attitude very little there or no danger also an important number of those is those. And they do not promise a slowing down into the double digit annual praemienerhoehungen. “some premiums go above, but people received insurance, which them did not receive forwards,” said David Olson, wortfuehrer for insurer health net Inc.. (HNT) to Mohit Ghose, wortfuehrer for plan insurance health Americas, a group of industrial businesses, which represents Hauptcarriers, underlined prescribed covering in the State of Washington were ordered and modelliert on the plan 1993 health of the Clinton line. It was recalled fast into the Mid-1990s, when it resulted in higher costs and few elections. “you turn generally the market on its head,” said Ghose. Whether prescribed covering can receive costs in the line “, hangs of the pieces of the puzzle play.” starting from leaving it the conditions to do it? Expert underline that, even if the intentions of such candidates are sincere such as Hillary Clinton, Barack Obama, John Edwards’ et aluminium of ordering their improvements there are numerous road blocks for completing. Congress is naturally normally the largest hurdle, to, to cross as Clinton which is discovered in the early nineties during operation for improvement during the presidency of its married man. There is also the prospect, although she sees as a remote, from republican will notice to the white house. Candidates on this side are generally with the leaving of the forces of the free market to determine the fate of health care, in agreement with few exceptions. Some conditions continue to address the point, therefore candidate can be provoked let a local official the political atomic fall out to employ. Although republican, Praesidentenhopefuls are against-striving, the expenditure, a pair anzupacken the GOP of governors, those the loading - one led of, vying whom, in order to be the managing director of the nation. Massachusetts inhabitants have to the end of the yearly to receive to itself the insuring or they confront fiscal penalties. Candidates and industrial observers pay close attention, in order to see whether the plan, which by Republican hopeful praesidentialhandschuh Romney is introduced - the former Massachusetts governor, who overhauls itself now from the initiative - to work can. In California republican suggests prescribed health care covering for all to Gov. Arnold Schwarzenegger. Under a plan $14 billion, that, has by the condition legislation to be approved would like Schwarzenegger hospital and employer taxes and extra federal dollar as well as sales away from the management of the Lotteriesystems of the condition to use, in order to pay for it. Outline, not blueprints however the most critical hurdle for meaningful improvement cannot the candidates themselves be. Without more special ones of even the most detailed plans, it remains exactly unclear, which the candidates in the understanding have. “plan can be a too large word for it,” mentioned Drew Altman, president of the health care politics policy of emperors Familie basis, the requests of the candidates. “they are more outline.” No civil servant of any of the camps of the candidates would discuss their health care elections, although they are marked on their net places of assembly, and in the debates to have been discussed. More details comes from the democratic side, in the documents approx.. 56 sides add, compared with seven for republicans. Congress-delegated Duncan hunter, r-Calif., mentions health care not at all in “publishes” section of its web site. “it is not said Altman in the Karl straehne playbook to speak to over it”. Two managing democratic candidates, Clinton and Obama, offer most detail with 16 and 15 sides, and/or. Others in the party can state more details than republicans however at least somehow. Still none of the requests enough are specific to some industrial observers. “some candidates described plans exactly. But all have distances in its requests, “mentioned Sarah Collins, helpful vice-president at that Commonwealth capital, a non-profit health care research basis. Ways find to refuse Clinton prescribed covering required, say that the insurers find too much money of ways, patients to exclude or covering refuse spend. If everyone must participate, says it, which reduces the costs of all. Patients, who do not know afFord premiums, must sign, but tax credit notes above on income, a plan keep based, which is sketched, in order to form insurance afFordable. Obama required, prescribed covering however does not erFordert all employers to make covering available like Clinton. Flat ‘ exact Clintons resembles Edwards thereby that it needs all United States inhabitants, covering to receive. He presents also universal health care into the mixture
- a designation was afraid by some. Among the main candidates the Edwards’ only one is to mention to it although companion democrats Christopher Dodd and Dennis Kucinich use the designation in addition. But Collins says that the prospect of forcing everyone reduces, in order to combine together by the costs to spread not necessarily the costs of the danger. “setting a quantity of people in [ a pool ] will change not dynamic that, said” it. Most are accessible with the making of the same health care elections for members of the congress set out there for general consumption in agreement. Some require A Medicare like choice, in order to be present for those, which cannot do afFord it. On the republican side the most specific detail of the former New York mayor Rudy Giuliani comes. Giuliani, like some its democratic counterparts, requires the tax credit notes, which go to those, which reach health insurance. It requires also public-private partnerships, if it addresses such questions as investing in the information technology, but it takes those to pain, in order to guarantee that the alliances do not overcome “.” Contributions whether or it applicable improvement wishes, does not give the health care industry to the president candidates in the record numbers, particularly democrats, according to data of the center for accomodating policy. Health care poured inside $41,4 million to all 2008 campaigns end of the third trimester of this year. Under the different Unterkategorien contributions of the health service and HMOs are up 53%, while and pharmaceutical products and health of products are 47% up. Medical specialists and contributions of the insurers are up 23%. Approximately 54% of the present Gesamtgesundheit care disk or $22,5 million, went to the democrats. That represents, which could be done first times the majority health care of the money to the democrats since 1992. Clinton is the upper money procuring party in a combination of contributions health care and accident of the insurers - which closes main health carriers - taking in combined $1,81 million by the third trimester. Clinton, although, is before rivals in the entire Fundraising with $91 million far and arranges in the middle in the sentence, if it comes to the relationship of the industrial contribution altogether to the total quantity. Obama is in second place in entire health care/insurance the money with $1,45 million, the data appearance of the center. Cut Clintons all health care/insurer dollar among the candidates is 23,2%, while Obamas is 18,7%. Among other main candidates Romney took in $1,09 million, while Giuliani received $1,08 million. John McCain accumulated $613,230 and for Edwards received $438.726. Fred Thompson took in $177.975 of the industry. This Mittelpolitiken of the numbers does the heart of the affair, really thus, which usual will translates as usual into health care? It looks not well, says analysts. The heart of the affair is rising costs, which applicant hope is cut as side effect of its improvements. But they really do not address this question frontally over price controls. Analysts say the fact that republicans it seize democrat screen and from delivering with freimarkt forces accuses it of. “price controls are a dirty word at the moment,” said Altman of the emperors Familie basis. Insurers persist that larger transparency is necessary in the medical costs, in order to hold a cap on prices. If they could steer it in the situation layers, a handle up, which doctors and hospitals really loaded to receive, costs better. The basis for Flanagan of the taxpayers underlines however the fact that the double digit rate increases by health insurers far the inflationist rate for doctors and hospitals exceeds, which with 4% to 6% one year estimated is. Flanagan added that expenses of the insurers from whack are and underline it out, to run leave approximately 20% to 25%, while expenses under the Medicare program are approximately 3%. And it keeps only more durable to clamp down at going through costs while fusion activity leaves the market with few insurers, Flanagan says. It warns effect “from a” stattfindenen Enron, particularly if prescribed covering is ordered. “it gives to insurance the industry, which does not have incentive for improving to of of care” said Flanagan to more control.
(END) of Dow Jones Newswires 12-04-07 2036ET copyright (C) 2007 Dow Jones And company, Inc..
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