Romney care vs obama care -don't mixed them up





































RomneyCare


ObamaCare


Overall Size and Scope


-Whole bill was 70 pages

-Romney vetoed significant sections of the bill including the employer penalty for not providing health insurance

-Romney favored an “opt out” provision from the mandate

-No federal gov. insurance option

-Intended as a market driven solution to healthcare


-Whole bill was 2,074 pages

-Very broad regulation of the insurance industry including an employer penalty for not providing health insurance and no "opt out" provision

-Leaves open the option of creating single-payer gov. insurance in the future

-Intended as a step toward gov. run insurance


Costs


-No new taxes!

-Romney balanced the state’s budget first, then passed healthcare law

-No cuts to Medicare benefits

-Modest cost to state (only added 1% to state budget)


-Increased taxes by $500 billion

-Despite massive federal gov. debt, Obama still passed Obamacare

-Cuts Medicare by $500 billion

-Overall costs unknown!


Popularity


-Very strong bipartisan support

-Strong special interest support

-Very popular among the public in Massachusetts

-Strong consensus of approval was built in the state to support the law

-Consensus was built to support an individual mandate


-Absolutely no bipartisan support

-Very controversial and divided special interest groups

-Unpopular in nation overall

-No consensus was built to support a mandate


Constitutionality


-Constitutional

-Regardless of how the Supreme Court rules on Obamacare, Romneycare will remain constitutional


-Potentially unconstitutional

-Supreme Court has yet to rule on 10th amendment limitations of federal gov. power in regard to this law


Federalism


-A state solution to a state problem

-Through collaboration and discussion, Massachusetts created a consensus among stake holders to support the new law


-Federal gov. “one-size-fits-all” plan

-Doesn’t take into account that each state is unique in important ways such as:

1)Vastly different debt levels between states (some states can’t afford new spending on health care)

2)Some states have three times the percentage of uninsured citizens (Much greater costs will be imposed on states with a larger percentage of uninusured citizens)

3)Conservative states will reject implementation of federal gov. plan.

所有跟帖: 

THose who think obama care is good really need to have a seccond -sleepdonkey- 给 sleepdonkey 发送悄悄话 (0 bytes) () 10/04/2012 postreply 20:19:29

这才是我们应该学习的方向。 -Wjin2002- 给 Wjin2002 发送悄悄话 (37 bytes) () 10/04/2012 postreply 20:22:11

我比较推崇的全民医疗是德国形式的。 -Warsteiner- 给 Warsteiner 发送悄悄话 Warsteiner 的博客首页 (0 bytes) () 10/04/2012 postreply 20:22:36

德国是single-pay system ba? -sleepdonkey- 给 sleepdonkey 发送悄悄话 (167 bytes) () 10/04/2012 postreply 20:28:18

德国浪费少,保险公司也有,还挺强,但是垃圾公司少。 -Warsteiner- 给 Warsteiner 发送悄悄话 Warsteiner 的博客首页 (226 bytes) () 10/04/2012 postreply 20:33:47

其实如果民主党不提这事,搞不好共和党自己也会提出的。 -i751- 给 i751 发送悄悄话 i751 的博客首页 (23 bytes) () 10/04/2012 postreply 20:38:01

我知道的同样的治疗,德国便宜很多。 -sleepdonkey- 给 sleepdonkey 发送悄悄话 (162 bytes) () 10/04/2012 postreply 20:46:07

我了解的可能out of date, 但是最早的越南难民,后来的Guest Arbeiter, -Warsteiner- 给 Warsteiner 发送悄悄话 Warsteiner 的博客首页 (213 bytes) () 10/04/2012 postreply 20:50:29

美国是要复杂点。到处是雷区,到处是法律诉讼。 -i751- 给 i751 发送悄悄话 i751 的博客首页 (0 bytes) () 10/04/2012 postreply 20:54:12

确实不能这么比, 主要是说明无论州还是fed都因该business driven -sleepdonkey- 给 sleepdonkey 发送悄悄话 (54 bytes) () 10/04/2012 postreply 20:31:21

很好,让全民健保通过,让共和党的国会监督完善健保。 -i751- 给 i751 发送悄悄话 i751 的博客首页 (0 bytes) () 10/04/2012 postreply 20:34:14

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